WITH SIGNING BONUS!*
Work setup: 100% Onsite (Ortigas, Pasig City)
Shift: Shifting schedule - predominantly Nightshift
Start Date: January 19, 2026
Responsibilities
Coverage and Access Specialist (PHRN)
- Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow up calls (Prior Authorization (Pas), Non- Formulary Exceptions (NFEs) and Appeals)
- Volume and case type to be worked to be determined by Novartis, but in collaboration with supplier based on current SLAs within the PSC and expected agent productivity
- Accurately and concisely document payer interactions to inform cross-functional partners on the patients coverage status
Care Navigator (PHRN)