Roche is a pharmaceutical and diagnostics company that offers medicines and diagnostic tests for various medical conditions and diseases. They are seeking a Summer Intern for the Access Solutions & Patient Services department to support patients in navigating reimbursement processes and assist in various roles such as Reimbursement Specialist, Case Manager, and Foundation Specialist.
Responsibilities
Investigates patient’s insurance benefits and obtains prior authorization information of Genentech products at the patient/family request.
Functions as an advocate for and a resource to customers and their professional organizations in the areas of reimbursement and managed care.
Conducts analytical research and provides expertise on reimbursement for new and existing products.
Educates, informs, and assists patients and providers to navigate through the reimbursement process for the assigned product.
Identifies barriers to reimbursement and continually identifies and recommends program efficiencies to the Supervisor to promote high quality of work by Access Solutions staff.
Identifies and facilitates referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copay assistance.
Educates, informs and generally assists patients and their families, as well as other related external or internal parties, on how to navigate the appeals process.
Assist patients and providers in the enrollment process of the Genentech Patient Foundation, which can provide free medication to uninsured and underinsured patients.
Evaluates patient eligibility across key criteria and communicates determinations.
Actively supports product launches, line extensions, and formulation changes.
Embeds a culture of compliance by ensuring self, colleagues, and team members are adhering to laws, regulations, and policies that govern Foundation conduct.
Qualification
Required
Must have attained a Bachelor's Degree (not currently enrolled in a graduate program).
Any Science or Social Science degree.
Prior customer service experience (required).
Preferred
Proficiency in gSuite.
Prior experience with Salesforce/CRM platforms valued.
Good customer service and phone etiquette skills. All interactions with patients and HCPs are via phone.
Previous reimbursement experience or knowledge valued.
Additional language proficiency is valued.
Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members.
Demonstrates effective problem-solving skills and provides excellent customer service.
Excellent communication, collaboration, and interpersonal skills.
Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
Attention to detail, strong multi-tasking ability, organizational skills, and effective time management.
Managing Change: Accepts change as positive; Adapts to changing conditions; Departs from accepted group norms of thinking and behaving when necessary.
Achieving Results: Is goal-directed and persistent; Holds self accountable for meeting commitments; Recognizes the contributions of teammates and peers.
Complements our culture and the standards that guide our daily behavior & decisions: Integrity, Courage, and Passion.
Paid holiday time off benefits
Roche is a pharmaceutical and diagnostics company that offers medicines and diagnostic tests for various medical conditions and diseases. It is a sub-organization of Roche France.