Market Access Specialist - Diabetes

Aeroflow Health – Market Access Specialist

Remote position -- Hybrid option if local to Asheville

Aeroflow is one of the fastest growing durable medical equipment company in the nation. We’ve set out to create a better way of doing business by prioritizing our customers, our community, and our coworkers.

The Opportunity

Within Aeroflow, the Diabetes team comprises customer facing, physician facing roles, sales, marketing, billing, and operations roles.

• Aeroflow Diabetes focuses on providing best in class customer support for diabetic patients looking for continuous glucose monitoring therapy through their insurance
• We support those patients who are looking to replace traditional blood glucose monitors with the newest standard of care
• Our team helps patients change their lives by making this new technology accessible, affordable, and delivered right to their door.

Your Primary Responsibilities

We are currently seeking a Market Access Specialist. The primary role of a Market Access Specialist is to assess and increase the number of patients Aeroflow Diabetes is able to service. The primary responsibilities of this role are:

• Assess the serviceability of individual insurance plans
• Research clinical coverage criteria
• Review existing payer contracts
• Determine expected reimbursement rates
• Size and communicate opportunities and priorities to management and Payer Relations team
• Create and maintain short and long term roadmap to be able to service currently unserviceable plans
• Coordinate with Payer Relations team to provide them the necessary targets and roadblocks to negotiate with Payers
• Track, report, and present data and payer status to management
• Manage payer testing from quote file creation through billing and collections
• Report on results of payer testing in a meaningful way
• Manage testing A/R through payment or write off
• Participate as an engaged member of the team
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality

Skills for Success

• Excellent Communication Skills
• Ability to Think Critically
• Drive to be creative and dig for answers
• Exceptional Organization
• High Level of Compassion
• Willingness to Make Decisions Independently
• Ability to Contribute to a Team
• Adaptable and Willing to Learn

Required Qualifications

• Bachelor’s degree in a healthcare related field, or equivalent years of relevant work experience is required
• A minimum of 3 years working with insurance plans, contracts, or other relevant experience
• Project Management Experience
• Outstanding Written and Verbal Communication
• Ability to multitask – shifting between open applications as you speak with patients
• Basic Excel experience including formulas and pivot tables
• General Computer and Email Proficiency

You might also have

• Experience with insurance billing or medical coding
• Experience with payer relations or contract negotiation
• Personal knowledge of Diabetes or Continuous Glucose Monitoring

What we look for

We are looking for highly motivated talented individuals with the ability to:

• Think outside the box, be a strong team player, identify issues and seek solutions

What you can expect from our team environment:

• Ample training opportunities, a supportive and an engaged workplace, and plenty of opportunities for growth!