Inside Sales Representative - Patient Access

About This Role

This night-shift post on the cardiac ward pairs patient care with mentoring new nurses. The Inside Sales Representative, Patient Access, supports patient access, reimbursement, billing, and commercial activities related to diabetes therapies. This individual is responsible for processing billing transactions, validating insurance requirements, supporting benefit investigations, resolving reimbursement issues, and collaborating with cross-functional teams to help patients access and continue therapy. The role combines customer-facing interactions, operational execution, and commercial support within a highly regulated healthcare environment.

Responsibilities

• Process daily billing activities for diabetes equipment and supplies, ensuring accuracy and compliance with payer requirements
• Verify insurance authorizations, medical documentation, eligibility, and billing information prior to claim submission
• Resolve billing discrepancies, rejected claims, reimbursement issues, and revenue cycle exceptions
• Manage payer benefit verification and authorization processes to support patient access to therapy
• Maintain current knowledge of payer coverage policies, reimbursement requirements, and authorization processes
• Collaborate with Sales, Reimbursement, Finance, and Customer Service teams to address access barriers and improve patient outcomes
• Support inside sales activities, including opportunity follow-up, patient retention efforts, and order coordination
• Prepare and maintain productivity, billing, reimbursement, and operational performance reports

Requirements

• Bachelor's degree and 2+ years of experience in inside sales, reimbursement, billing, customer support, healthcare operations, or related business functions
• Conversational English communication skills (minimum B2 level)
• Experience working with medical insurance plans, reimbursement processes, patient access programs, or healthcare-related services
• Experience supporting customers or patients through phone-based or remote interactions
• Proficiency with Microsoft Excel and business software applications

Nice to have:

• Knowledge of Assertus or similar reimbursement and patient access platforms
• Experience supporting diabetes therapies or durable medical equipment products
• Demonstrated ability to identify process improvement opportunities and drive operational efficiencies
• For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required
• For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers.