Patient Access Specialist
As a Patient Access Specialist at VIVO Infusion, you will play a crucial role in supporting the Infusion Intake Process.
Collaborating with the Revenue Operations Lead and Manager, you will ensure the thorough and accurate processing of referrals, authorizations, and insurance eligibility verifications. Your responsibilities will include prioritizing, organizing, and completing assigned tasks in a timely manner to support our commitment to exceptional patient care.
We are looking for a team member with experience in insurance verification, benefits, and authorizations, medical billing and authorizations, and/or managing physician referrals. Prior experience working in a remote office, is a plus.
Must reside in one of the states below:
Arizona, California, 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
The Vivo Infusion team is focused on taking care of our patients and each other. We provide opportunities for growth and advancement as well as competitive benefits that support what matters most to you.
Compensation: $22.00 - $24.00 / hr.
Benefits Available: Medical, Dental, Life, Vision, Pet Insurance, 401K with Match, PTO, Bonus Eligible, Quarterly Wellness Reimbursem*nt Program, Employee Referral Program, Tuition Reimbursem*nt, & commitment to maintaining a great culture!
Employment Type: Full-Time, Monday-Friday
Location: Remote, Secure Home Office
Reports To: Patient Access Manager
FLSA Status: NonExempt
If you are passionate about providing exceptional patient care, you belong with us!
Qualifications:
- High school diploma or equivalent, required.
- Associate's degree or higher in a related field, preferred.
- Minimum 1-2 years of similar work experience in the healthcare industry, required.
- Microsoft Office, Outlook, Excel, and PowerPoint proficiency, required.
- Knowledge of Medicare & commercial/private insurance benefits, medical authorizations and billing, HIPAA, and medical abbreviations and terminology, preferred.
- Must possess outstanding communication and interpersonal skills, be able to communicate professionally and effectively with other staff members, patients, vendors, and physicians, and be fluent in written and spoken English, required.
- Prior experience working with sensitive information and maintaining confidentiality, preferred.
- Private secure internet connection for your designated at-home work environment, required.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Primary role responsibilities:
- Verify patient insurance eligibility and benefits.
- Ensure referral packet and all relevant information is received from referring providers and scanned to the appropriate location in the medical record & billing system.
- Maintain working knowledge of all insurance contracts.
- Maintain working knowledge of applicable CPT, HCPC, and ICD-10 codes.
- Contact insurance companies with all appropriate codes to obtain correct prior approval(s) for referrals and maintain ongoing approvals for continued payment.
- Research and review insurance medical policies to ensure the referral meets all requirements and guidelines to include step therapy requirements, diagnosis conditions, dosing limitations, etc.
- Become familiar with drug copay assistance program requirements to identify whether a patient meets base eligibility conditions.
- Report referral progress in tracking system and spreadsheets.
- Data entry of patient information into electronic medical record.
Communication Expectations:
- Must maintain professional communication (written and verbal) when interacting with corporate insurances, internal and clinical staff, referring provider offices, and patients.
- Communicate and maintain contact with Patient Care Navigator and Patient Resource Operations Teams regarding patient accounts to discuss concerns such as missing referral documents, COB issues, patient financial concerns, authorizations, and referrals.
- Utilize appropriate templates, conventions, formats, and distributions for communication via email and all applicable tracking, notation, and communication systems.
Additional role responsibilities:
- Assist in various projects such as account audit reports, system update projects, data entry & reconciliation, acquisition assistance, etc.
- Maintain patient records and confidentiality via the electronic Medical Record System.
- Develops an effective communication mechanism for the Home Office to promote a positive image with clinics, patients, visitors, co-workers, physicians, office personnel, and external agencies.
- Attends necessary meetings related to department activities.
- Performs other duties as assigned.
Work Environment & Physical Demands:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is frequently required to sit for long periods. While performing the duties of this job, the employee is required to sit, talk, type, and hear. Requires excellent visual dexterity and manual dexterity.
About Vivo Infusion:
The Vivo Infusion team is focused on taking care of our patients and each other. We provide opportunities for growth and advancement as well as competitive benefits that support what matters most to you. We provide clinically exceptional, compassionate, convenient, and cost-effective infusion care to improve the health of our patients in partnership with their physicians. Our highly trained medical professionals are dedicated to delivering a safe, comfortable, and affordable solution for infusion patients. Vivos vision is to set the nationally recognized standard for the delivery of innovative pharmaceutical therapies in a patient-friendly environment. We offer an array of advanced therapeutics and provide personalized, individual care for every patient. These treatments are delivered by a highly skilled, clinical nursing staff and monitored by board certified advanced practitioners. Every Vivo Infusion Center was designed specifically with the patient experience in mind, from the comfortable, warm environments to the ample, free parking.
RECRUITMENT PRIVACY STATEMENT:
Notice to All Applicants
Vivo Infusion posts all open positions on the Careers page of the company website: https://vivoinfusion.com/careers/
The Vivo Infusion Careers page is found underneath the About tab on our website. Applicants will never be asked to provide personal identification information (e.g., SSN, Drivers License, Passport) or financial information (e.g., Banking Information) as a part of the Application and Interview process. We may request:
- Contact details including your name, address, email address, phone number.
- Employment history including previous employers and job titles/positions.
- Background information including academic/professional qualifications, job qualifications, education, certifications or licenses, details included in your CV/résumé, transcripts, and employment references.
- Nominated references including their name, contact details, employer, and job role.
- Proof of your eligibility to work in the US.
- Desired salary.
PLEASE BE AWARE THAT THERE MAY BE FRAUDULENT ATTEMPTS TO OBTAIN YOUR PERSONAL AND/OR FINANCIAL INFORMATION. CHECK THE URL AND CONFIRM THAT YOU ARE CONNECTING DIRECTLY WITH @VIVOINFUSION.
