Design and implement the patient access program strategy, including workflows, standard operating procedures, and key performance metrics
Advise on case management systems and technology tools to support efficient operations and reporting
Develop training materials and knowledge resources covering wound care coding, payer policies, and appeals strategies
Create dashboards and reporting frameworks to track program performance, identify trends, and inform continuous improvement
Partner with sales, marketing, and medical affairs to align patient access support with commercial objectives
Manage a personal caseload of patients requiring reimbursement support
Conduct benefit investigations and verify patient coverage across the full spectrum of health plans
Complete and submit prior authorization requests with appropriate clinical documentation and coding
Draft and submit appeals for denied authorizations and claims
Ensure all patient access activities comply with HIPAA, state privacy laws, and company policies

Minimum 5 years of experience in patient access, reimbursement support, or medical billing/coding
Direct experience with wound care, vascular, or related therapeutic areas
Demonstrated expertise in prior authorizations, appeals, and benefit investigations
Strong working knowledge of Medicare, Medicaid, and commercial payer policies and processes
Experience with medical coding systems (CPT, HCPCS, ICD-10-CM) relevant to wound care and vascular procedures
Excellent written and verbal communication skills
Associate's degree required; Bachelor's degree preferred

Patient Access Manager

Key skills