Associate Case Manager

Verify and re-verify insurance coverage policies and benefit details through direct contact with payers Receive incoming referrals from providers, via fax queue (or other means) Maintain workflow of clearing, sorting, and distribution of incoming faxes Ability to prioritize work duties to maintain customer satisfaction through prompt and efficient service Accurately interprets patient insurance, prescription, and other health related documentation Enter and maintain accurate data on individuals, their insurance, and all payer interactions Send Summary of Benefits to Providers and Field Reimbursement Directors Research and identify payer Prior Authorization Processes and obtain necessary documents and requirements to disseminate to Case Management Team Submit and Track referrals to Specialty Pharmacies, as needed Maintain up-to-date knowledge of the reimbursement process, billing/coding guidelines, healthcare policy, payer trends Participate in projects and/or assignments including, but not limited to, QC initiatives, interdepartmental projects, etc. Demonstrate adaptability and flexibility; seek out opportunities to support your teammates Navigate customer-relationship management (CRM) platform in daily interations and learn internal team processes for full understanding of Alnylam's Patient Services Maintain confidentiality of patient health information and act in compliance with all laws, regulations, and Alnylam Company policies Outreach to Sites of Care related to initial and ongoing treatment Bachelor's Degree required Experience working in a high-volume patient services program preferred Ability to work cooperatively as a team member and have well-developed interpersonal skills