Patient Access Manager

Patient Access Manager

Permanent  

Creating foldable displays, advancing medical innovations, or giving new life to precious metals – at Heraeus, we empower our customers to stay ahead of the curve. As a family-owned global technology leader, we take pride in being the invisible force driving innovation. Whether in production, research, sales, or administration, we deliver world-class quality across key industries: Metals & Recycling, Healthcare, Semiconductor & Electronics, and Industrials. With a strong global presence, including a significant footprint in the United States, Heraeus employs approximately 15,200 people across 40 countries, all dedicated to shaping the future of technology and industry. 

About Heraeus

Solutions from the Heraeus Group provide faster internet, rid water of germs, and keep hearts beating in time. As a broadly diversified and globally leading family-owned technology company, we combine materials expertise and technological leadership to create the most diverse products, all with one thing in common: World-class quality. Working with customers around the world, we shape the future and provide vital innovations in the areas of Metals & Recycling, Healthcare, Semiconductor & Electronics and Industrials. Heraeus is one of the top 10 family-owned companies in Germany and has a team of around 17,200 employees in 40 countries.

About Engineered Tissue Solutions

Engineered Tissue Solutions was acquired in 2021 by the Heraeus Group, a broadly diversified family-owned technology company. Learn more about Heraeus Group at www.heraeus.com.

The following challenges await you:

Program Development & Leadership

• 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
• Collaborate with sales, patient services vendors, and provider office staff to streamline workflows, resolve access issues quickly, and support a frictionless Mirragen treatment journey
• Feed real-world insights (e.g., common denial reasons, documentation gaps, coding challenges, payer policy trends) to commercial, market access, and medical affairs teams to refine strategy, evidence generation, and provider tools
• Hire/train additional staff as volume grows

Hands-On Case Management

• 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
• Document all case activities in the case management platform with accuracy and attention to compliance requirements
• Champion an exceptional patient and HCP experience by ensuring that all communications and case updates are clear, empathetic, timely, and tailored to the needs of patients, caregivers, and providers

Compliance & Quality

• • Ensure all patient access activities comply with HIPAA, state privacy laws, and company policies
  • Maintain accurate and auditable records for all patient interactions and case outcomes
  • Stay current on wound care reimbursement policy changes, LCD/NCD updates, and coding revisions
  • Support internal and external audits as needed.

Your Profile:

• Minimum 5 years of experience in patient access, reimbursement support, or medical billing/coding
• Direct experience with wound care, vascular, or related therapeutic areas (e.g., advanced wound dressings, negative pressure wound therapy, compression therapy, skin substitutes, peripheral vascular devices)
• 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

 Preferred Qualifications

• • Experience building or scaling a patient access program or reimbursement team
  • Prior supervisory or team leadership experience
  • Experience with case management platforms (e.g., Salesforce Health Cloud, custom CRM systems)
  • Background in medical device or pharmaceutical manufacturer patient services