VIVO Infusion - Patient Access Lead Remote As the Patient Access Lead you will support the Patient Services department and facilitate the infusion admission process. Individuals in this role will collaborate with and support the Patient Access Managers by ensuring the thorough and accurate processing of referrals and updated orders to include insurance eligibility and benefits verifications, prior approvals, and data entry.
In addition, Patient Access Leads support continuity of care for existing patients by ensuring that eligibility, current financial documents, and prior approval renewals are reviewed and maintained prior to patient appointments. The lead is responsible for prioritizing, organizing, and delegating tasks to the Patient Access Specialists; completing audits and reviews; training new and existing employees; and handling escalated needs and calls.
For This Position, Applicants Must Have The Following Experience
- 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 experience working in a customer service or patient facing role.
The Patient Access Specialist will work remotely from a home office with a secure network. Only candidates residing in the states below at the time of employment will be able to be considered.
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, Wyoming, Washington D.C.
Compensation
- Pay Range: $28.00 - $30.00/Hour
- Bonus Plan Target: 5% Annually (Based on performance)
- Private Equity for the Greater Good - Company-wide Employee Ownership Program
Benefits
- Medical, Dental, Vision
- HSA w/ Employer Contribution
- Touchcare - Insurance Concierge Service
- 401K with Match up to 4%
- PTO: Accrual 3+ weeks
- PTO Buy-back, 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)
Employment Type, Schedule, FLSA Status
- Full-time
- Monday-Friday | Flexible hours 7:00am - 7:00pm EST
- Non-Exempt
Reports to:
Patient Access Manager
Location:
- The Patient Access Specialist will work remotely from a home office with a secure network. Only candidates residing in the states below at the time of employment will be able to be considered. Travel with Vivo equipment is not permitted without prior approval.
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, Wyoming, Washington D.C.
Primary Responsibilities
- Subject Matter Expert (SME) in all aspects of the Patient Access functions, responsibilities, and processes & procedures.
- Proficient in all applicable systems, programs, resources, and tools.
- Assists with all Patient Access functions as needed per business demands.
- Knowledgeable of all Patient Services roles and able to assist workload as needed.
- Maintain working knowledge of insurance contracts and exclusions.
- Maintain knowledge of applicable CPT, HCPCS, and ICD-10 codes
- Maintain familiarity with drug copay assistance program requirements to determine whether a patient meets base eligibility conditions.
- Uphold and promote adherence to HIPAA guidelines.
- Generate and manipulate Excel spreadsheets to sort, condense, and prioritize data.
- Demonstrate exceptional written and verbal communication skills when interacting with insurances, referring office staff, patients, and internal & clinical staff.
- Communicate and maintain contact with the Patient Navigator, Medical Records Review, and Patient Resources teams regarding patient accounts, referral documentation, insurance and coordination of benefits concerns, patient financial documents, prior approvals, referrals, etc.
- Utilize appropriate templates, naming
