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Patient Access Lead

🔥 2 hours ago

Where this job comes from

Posted on Vivo Infusion®'s careers page, not through a job board

First seen by Remote Rocketship 2 hours ago

Still open on Vivo Infusion®'s site. Checked 56 minutes ago.

Logo of Vivo Infusion®

Vivo Infusion®

501 - 1000 employees

Founded 2022

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Vivo Infusion® is redefining infusion care with a personal touch, offering individualized and compassionate treatment for patients. The company focuses on providing exceptional outpatient infusion therapy services in a comfortable environment, working closely with physicians to ensure seamless care. With numerous locations across several states, Vivo Infusion® is committed to making high-quality, cost-effective infusion therapies accessible to a wider community, ensuring a convenient and supportive experience for patients.

📋 Description

• Support the Patient Services department and facilitate the infusion admission process • Process referrals and updated orders, including insurance eligibility and benefits verifications, prior approvals, and data entry • Maintain continuity of care by reviewing and maintaining eligibility, financial documents, and prior approval renewals before appointments • Prioritize, organize, and delegate tasks to Patient Access Specialists • Complete audits, reviews, quality assurance audits, and routine reports • Train new and existing employees, including onboarding and refresher training • Handle escalated needs, calls, concerns, and team performance issues • Serve as a subject matter expert for Patient Access functions, procedures, systems, and tools • Maintain knowledge of insurance contracts, exclusions, CPT, HCPCS, ICD-10 codes, and drug copay assistance requirements • Uphold HIPAA guidelines and maintain patient confidentiality • Generate, manipulate, maintain, and review Excel spreadsheets and data reports • Communicate with insurers, referring offices, patients, internal and clinical staff, and Patient Services teams • Monitor team workload and productivity and coordinate coverage assistance • Assist Patient Access Managers with team goals, guidelines, expectations, process changes, and coverage • Recommend improvements to processes and procedures • Build daily, weekly, monthly, and ad hoc reports, including schedule review and authorization tracking reports • Participate in and co-present on weekly calls • Assist with claim projects, patient data audits, acquisition assistance, month-end activities, and other assigned projects • Maintain patient records in the electronic Medical Record System • Attend department meetings and promote a positive image for the Home Office

🎯 Requirements

• 3+ years of experience working in high-volume insurance verification, benefits, and eligibility/authorizations • 2 years of medical billing and authorizations or managing physician referrals • 1 year of experience working in a customer service or patient-facing role • Minimum 3+ years of related prior work experience, preferably in admission, scheduling and medical insurance within the healthcare industry • Proven competencies can take precedence over prior work experience • High school graduate or equivalent required; associates or bachelor’s degree preferred • Proficient at an intermediate level with all Microsoft Office programs • Advanced knowledge of insurance, accounting, medical billing, HIPAA, Medicare/Medicaid, medical abbreviations and terminology • Outstanding communication and interpersonal skills • Fluent in written and spoken English • Experience supporting multiple managers/supervisors • Prior experience working with sensitive information and maintaining confidentiality • Must reside in one of the listed states at the time of employment • Travel may be up to 10% • Ability to perform each essential duty satisfactorily • Ability to use required safety equipment/PPE when applicable

🏖️ Benefits

• Bonus Plan Target: 5% Annually (Based on performance) • Private Equity for the Greater Good - Company-wide Employee Ownership Program • Medical, Dental, Vision • HSA w/ Employer Contribution • Touchcare - Insurance Concierge Service • 401K with Match up to 4% • PTO: Accrual 3+ weeks • PTO Rollover and PTO Donation Program • Wellness Reimbursement Program - $360 Annually • Employee Referral Bonus - Uncapped Bonus Potential • Tuition Assistance Program & Professional Association Reimbursement • Employee Assistance Program (Employer-provided) • Short & long-term disability (Employer-provided) • Life Insurance (Employer-provided) • Flexible hours 7:00am - 7:00pm EST • Remote work from a home office with a secure network • Opportunities for growth and advancement

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