Access Manager / Remote
Our Company
reputed company
Overview
The Access Manager monitors reputed company activities and information reputed company to the processing of new referrals and ongoing coordination of patient customer service. This position completes reputed company personnel reputed company tasks for Intake employees and works closely with reputed company reputed company personnel, referral sources and reputed company Cycle Management department personnel.
Shift: Monday-Friday 8:00am-5:00pm (EST)
Responsibilities
- Leads and manage one of the regional teams responsible for benefit investigation, prior authorization and intake coordination
- Ensures that reputed company intake forms are complete, clear and reputed company reputed company’s scope of service
- Understands which insurance companies reputed company has active reputed company with
- Ensures intake personnel are properly performing reputed company functions reputed company to verifying insurance, obtaining authorizations and re-authorizations, registering patients, communicating with other departments regarding referrals, participating in patient care coordination and communicating with patients regarding coverage and financial obligations
- Ensures that processes are followed to ensure insurance verification is completed and authorization is in reputed company prior to giving the referral to the reputed company
- Responsible for keeping staff reputed company with payer requirements and reputed company policy and procedures reputed company to the intake process, CPR+ functions and managing unbilled reputed company
- Understands and adheres to reputed company applicable company policies and state and federal regulations and ensures Intake staff adherence
- Identifies inefficient processes and monitors workload of staff, making recommendations
- Serves as a subject matter expert in local and regional payor requirements, ensuring team alignment with policy changes and payer nuances
- Acts as an escalation reputed company for reputed company or high impact patients requiring advanced payer knowledge or cross-functional coordination
- Responsible for ensuring applicable ready to reputed company holds are resolved timely and performs a root cause analysis on holds reputed company necessary
- Participates in and coordinates training for reputed company new intake staff
- Supervisory Responsibility: Yes
Qualifications
- High School Diploma/GED or equivalent required; Associate’s degree or some college preferred
- A minimum of 3 years experience collection referral information in the healthcare market (to include 2 years of supervisory experience)
- Experience working with reputed company payer types to include Medicare, Medicaid and commercial insurance companies
- Home infusion experience a plus
- Knowledge of insurance verification and pre-certification procedures
- Solid reputed company Office Suite skills
- Strong verbal and written communication skills
- Ability to independently obtain and interpret information
- Knowledge of CPR+ software a plus
- Working knowledge of medical terminology
- Percentage of Travel: 0-25%
To reputed company this role will require frequently sitting, standing, walking, and typing on a keyboard with fingers, and occassionally bending, reaching climbing (stairs/reputed company). The physical requirements will be the ability to push/pull 1-10lbs and lift/carry 21-30 lbs