Case Management Specialist

Job Title : Patient Support Manager (PSM)

Location: Lexington MA

Duration: 3+ months (Temp to Hire)

Hybrid- Remote w/ a couple of days in the office

Works in a highly visible, strong team environment to provide exceptional Customer Service on all levels.

• Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well-informed answers to their questions.
• PSM’s will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy.
• Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.
• Works closely with patient/family to case manage all steps required to gain access to therapy
• Acts as the liaison with medical offices
• Work with Specialty Pharmacy and insurance companies to obtain reimbursement information
• Perform benefit investigations with insurance companies as required
• Counsel patient/family on reimbursement options
• Manage patient transition to products.
• Work with nurses to provide injection/infusion training to patients
• Responsible for maintaining case history for all assigned patients in the CRM system
• Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, PA’s, etc)
• Partner with Field Regional Business Managers and Patient Access Managers to manage all patient cases within their assigned territories
• Professionally field incoming telephone calls while making a positive impression
• Answer patient and medical office inquiries and resolve customer problems
• Provide ongoing persistency and compliance support by making regular calls to patient/families
• Manage patient assistance requests and work with partners to process applications
• Provide back-up coverage for other Patient Support Managers
• May attend patient meetings and represent at industry conferences
• Travel to sales meetings and medical offices as necessary

Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.

• Living our leadership behaviors is a basic expectation for all employees.
• Ability to multi task, problem solve and work independently

Liaison with patients and families

• Liaison with physicians and sites of care
• Work with specialty pharmacy partners, insurance companies and nursing agencies
• Work with Regional Business Managers, Patient Access Manager and Managed Care/Government Accounts team

Individual must possess and portray strong emotional resilience

• Individual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skills
• Ability to handle sensitive information

Ability to problem solve complex reimbursement scenarios and recommend solutions

• Ability to maintain composure and remain professional during difficult patient or medical calls

Education:

• BA/BS in the life sciences or communications preferred
• 3 -5 years of prior case management experience preferred

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian’s platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian’s brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.