Senior Patient Case Advocate

SI-BONE is a fast-growing, publicly traded medical device company that is an industry pioneer in minimally invasive sacropelvic solutions. Our mission is to help patients rise up and reach for the stars, and our vision is to work together as the global leader to make sacropelvic conditions universally recognized and effectively treated through innovation, evidence, education, and advocacy.
Job Title: Sr. Patient Case Advocate
Travel: Occasional 10% travel including team meetings, regional sales meetings and reimbursement educational events
SI-BONE® is focused on helping patients in one of the most under-served, under-diagnosed, and under-treated areas in orthopedics, the sacroiliac (SI) joint. SI-BONE developed an innovative, patented implant to fuse the SI joint. The iFuse Implant System® provides a less invasive alternative to traditional sacroiliac (SI) joint fusion surgery and has been used in over 90,000 procedures to date.
We are a medical device company that is focused on improving the lives of patients with sacroiliac pelvic conditions. We are looking for people who are passionate about our mission and who are willing to work hard to achieve it. We are also looking for people who are:
Agile: We work in a fast-paced environment and need to be able to learn and adapt to change quickly.
Creative: We embrace creativity, and we need people who are not afraid to challenge the status quo.
Team Players: We roll-up our sleeves and work together as one team to achieve our goals.
General Responsibilities:
Acts as single point of contact and voice for regional providers, patients, and the sales team.
Investigate peer coverage policies related to SI Joint fusion.
Ensure patient medical documentation supports the highest opportunity for a successful pre-authorization or appeal.
Coordinates access to iFuse, conducts appropriate follow-up and facilitates access to surgery.
Must at all times act and conduct company business in an honest, ethical and strictly legal manner, complying with the Code of Conduct, other company policies, the AdvaMed Code and all applicable laws and regulations, whether national, regional, state or local.
Responsible for performing all duties in compliance with all applicable worldwide regulatory requirements as included in the scope of the SI-BONE Quality Manual.
Specific Responsibilities and Skills:
Serves as a patient advocate to help patients navigate the reimbursement process to obtain access to minimally invasive SI Joint fusion surgery with iFuse implants.
Partner with Area Reimbursement Manager on case authorization and appeal strategies.
Provide effective collaboration as the liaison between the patient, surgeons/surgeons’ offices and payor to coordinate attempt to secure coverage for iFuse system implantation.
Ensure high quality customer service and frequent interaction with surgeon offices and patients regarding case status and outcome of pre-authorizations and appeals in company’s case management program.
Aid physician office staff and patients to complete and submit all necessary insurance forms and program applic