Reimbursement Care Coordinator

Axiva Health Solutions is seeking a compassionate and detail-oriented Reimbursement Care Coordinator (“RCC”) with specialized knowledge in copay assistance, foundation support programs, and patient access services for those receiving home or outpatient infusion therapies. The RCC will help patients, when available, access financial assistance programs for their prescription medication. The RCC serves as a key liaison between patients, providers, insurance carriers, and support organizations, ensuring timely access to prescribed therapies with minimal financial burden.

Key Responsibilities:

• Serve as the primary point of contact for patients receiving infusion services in the home or outpatient setting.
• Proactively contact patients to notify them of outstanding account balances and provide clear explanations of charges.
• Offer guidance on payment plan options or refer patients to financial counseling resources as appropriate.
• Educate patients on available financial assistance programs to help reduce out-of-pocket costs.
• Research and identify available financial assistance programs for specialty drugs prescribed for patients.
• Identify and facilitate enrollment in manufacturer copay assistance programs and independent foundation grants. Coordinate access to patient assistance programs.
• Ensure patients meet financial assistance program eligibility requirements.
• Serve as a patient advocate and enhance collaborative relationships where possible with patient assistance program representatives.
• Track, document, and follow up on all financial assistance applications and renewals.
• Complete all necessary financial assistance program forms and applications in a timely manner.
• Coordinate delivery and verify receipt of financial assistance forms and applications to patients.
• Initiate outbound communication (calls, letters, or secure messages) to patients regarding unpaid balances, offering support, payment options, and financial assistance when appropriate.
• Coordinate with the billing team to ensure timely billing and accurate account updates.
• Document all communications, insurance findings, financial support efforts, and patient balance discussions in the appropriate systems.
• Collaborate with clinical and reimbursement teams to ensure a smooth start of care and uninterrupted therapy access.
• Maintain up to date knowledge of payer guidelines, financial assistance options, and patient billing practices.
• Report any financial assistance program trends to direct manager.
• Ensure compliance with HIPAA and company policies regarding patient privacy and financial communications.

Required Education/Experience

• High school diploma or equivalent
• Minimum 2 - 3 years’ recent experience in medical billing and collections
• Experience with manufacturer and foundation copay assistance funds
• Strong verbal and written communication skills Proficient computer skills, including MS Office (Word, Excel)

Preferred Education/Experience

• Wellsky/CareTend/CPR (Software platform) experience
• Home Infusion experience strongly preferred

Job Type: Full-time

Pay: From $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have proficient computer skills, including MS Office (Word, Excel) ?
• Do you have strong verbal and written communication skills ?

Education:

• High school or equivalent (Required)

Experience:

• medical billing and collections : 3 years (Required)
• manufacturer and foundation copay assistance funds : 2 years (Required)

Ability to Commute:

• Lenexa, KS 66215 (Required)

Work Location: Hybrid remote in Lenexa, KS 66215

Salary : $27