Access & Support Specialist II

Location: Fully onsite in Melbourne, Florida, United States. Candidates must be able to work from 10:00 a.m. to 7:00 p.m. and maintain a flexible schedule if necessary.

Company

hirify.global is a publicly traded biotech and pharmaceutical company developing therapies for rare diseases and technologies intended to expand the availability of transplantable organs.

What you will do

• Provide approved reimbursement support information to patients and healthcare providers regarding prior authorizations, appeals, denials, payors, and insurance coverage.
• Collect and review benefits investigation information and respond to patient, provider, insurer, and authorized representative inquiries.
• Coordinate patient assistance program activities, verify applications, conduct eligibility reviews, and record recertifications.
• Document calls, activities, eligibility records, and required supporting information accurately and maintain current department records.
• Triage and escalate inquiries according to established protocols while collaborating with reimbursement management, clients, and internal team members.
• Follow policies, procedures, compliance requirements, and training standards; complete special projects and mentor new team members as needed.

Requirements

• High school diploma or GED.
• At least two years of experience in customer service, reimbursement support, healthcare, or life sciences.
• Experience working with insurance providers and proficiency in reimbursement support and insurance coverage.
• Ability to handle questions about prior authorizations, denials, and appeals and to review available coverage information.
• Strong telephone and electronic communication, problem-solving, organization, time-management, and relationship-building skills.
• Proficiency with Microsoft Office Suite and internet applications; ability to work independently and collaboratively.

Nice to have

• Associate degree.
• Knowledge of specialty medication benefits.

Culture & Benefits

• Mission-driven work focused on unmet medical needs and patient access.
• Medical, dental, vision, and prescription coverage for eligible employees.
• Employee wellness resources, savings plans including 401(k) and ESPP, paid time off, and paid parental leave.
• Disability benefits and additional employee programs.