PromptCare

Data Specialist

• Oversight and maintenance of the CPR+/Caretend application related to the reimbursement function
• Areas of oversight include price table maintenance, quantity limitations, validation rules, branches, insurance plans, and reporting
• Collaboration and troubleshooting issues with departments and Management
• Incorporate all Departmental and Administrative Policies and Procedures into daily activities
• Maintain confidentiality in all aspects of patient care, employee activities and office environment
• Organize work process in an efficient manner and prioritize tasks accurately on a daily basis
• Incorporate company or departmental changes effectively
• Foster positive work environment
• Ensure departmental goals are met by ensuring assigned work is done efficiently and timely
• Participate in projects or process updates as they relate to improving key outcomes
• Identify deficiencies and work to improve them through collaboration within the team and with other departments
• Work independently utilizing the tools and reports provided, ensuring compliance with internal and external policies
• Maintain the Maintenance email bucket to ensure timely turnaround of requests according to the established service level agreement (SLA)
• Provide training and education Reimbursement and other departments as necessary
• Research new insurance plan requirements and create related price tables and documentation resources for the reimbursement and customer service team
• Provide support to team in creating and running reports as needed

Database Maintenance Specialist

General

• Responsible for the procurement and assignment of documents for both the pharmacy and nursing departments
• Fax/email documents that require signatures
• Phone calls in 48 hours to confirm receipt
• Tracking all documents: (Prescriptions, Physician orders, Lab Orders)
• Follow up on documents not returned
• Scan all documents and attach to patient record in CPR record management system
• Confirm Enteral department delivery tickets for CPR+ patients
• Reports and Tracking for returned delivery tickets and signatures
• Other responsibilities as assigned

Document Management Team Member

Patient Coordinator

• Conduct telephonic outreach and engagement, including but limited to: problem solving, patient education, adherence support, and retention
• Medication and supply delivery scheduling
• Collaborating with nursing department and outside agencies for prescription or supply needs
• Advocating and raising awareness on behalf of patients and special program initiatives
• Analyze reports and report outcomes data for special program assignments
• Utilize good time management skills to ensure all facets of patient engagement activities and program requirements are completed in a timely manner
• Participate in retention and discharge committee meetings as assigned
• Conduct proactive, concurrent, and retrospective audits to ensure all charts and tickets are complete, compliant, and present
• Prepare, package and label medications for deliveries
• Track equipment
• Manage inventory and order supplies as needed
• Maintain a clean and organized work environment
• Adhere to all pharmacy regulations and guidelines
• Other additional job duties

Patient Services Coordinator

Supervisor

• Overseeing the day-to-day operations of a healthcare facility
• Responsible for providing high-quality medical services for the patients
• Implementing standard protocols and strict regulations to ensure safety and security
• Managing a team of patient service representatives who interact with patients
• Participating in process improvement in patient services
• Enhancing and standardizing workflows and SOP’s throughout the patient services team
• Leading and participating in standard and ad-hoc meetings and presentations
• Assisting in managing all Patient Management and Document Management staff

Patient Services Supervisor

Accounts Receivable

• Manually key claims and upload documentation on insurance portals
• Prepare paper claims and follow up on outstanding claims
• Complete assigned workflows and adjustments in billing software
• Ensure timely and accurate submission, follow-up, and resolution of all issues
• Patient contact as needed
• Understand and communicate changes in payer guidelines and policies
• Ensure proper revenue booking
• Collaborate with the team to identify root causes and address denial trends
• Develop and implement innovative A/R follow-up strategies
• Protect patient privacy and confidentiality
• Demonstrate strong cybersecurity awareness and practices

Accounts Receivable Support

Therapist

• Respond to patient and caregiver inquiries related to respiratory therapy, equipment, and treatment plans
• Troubleshoot and resolve issues with respiratory equipment (e.g., ventilators, oxygen concentrators, nebulizers) remotely
• Troubleshoot enteral Equipment remotely
• Conduct patient assessments and provide education on therapy protocols and equipment usage
• Document all interactions and interventions in the EMR system accurately and promptly
• Support cross-licensure efforts and maintain compliance with state regulations
• Participate on the On-Call As rotation as needed
• Maintain up-to-date knowledge of respiratory therapy best practices and equipment
• Triage and troubleshoot calls while in the queue
• Serve as the Encore/Nexus Coordinator for your region by attending weekly Nexus calls to coordinate follow-up calls addressing compliance issues identified by the Encore/Nexus staff
• Obtain compliance reports for HFCWO patients and upload the form to Brightree
• Work on the STOP Report and Non-Compliance Report for open sales
• Evaluate patient experiences to identify opportunities for improving customer satisfaction
• Provide patients and family members with timely and accurate information, taking appropriate corrective actions to ensure complete satisfaction
• Develop and maintain good working relationships with patients and family members
• Schedule follow-up visits in accordance with company policies and standards
• Properly triage field problems following company standards and training policies
• Ensure accurate and timely documentation of patient concerns and take necessary corrective actions
• Maintain a strong knowledge of PromptCare’s Standard Operating Procedures (SOPs) and apply them consistently
• Support all Branches with virtual vent follow up visits when required
• Ensure compliance with all applicable laws, regulations, Policies, and SOPs always
• Perform other duties as assigned

Respiratory Therapist – Troubleshooter

Intake Coordinator

• Processing inbound orders from our referral sources and requests for assistance from our patients through a variety of mediums, including inbound and outbound client calls, faxes, and e-mails
• Become proficient in the use of our enterprise system to enable the accurate processing of new patient orders and re-orders for existing patients
• Provide our clients with timely and accurate information and take appropriate corrective actions regarding our services to ensure the customer’s complete satisfaction
• Obtains patient referral admission data and documents initial information
• Notifies appropriate staff of all pending referrals and patient admissions and maintains communication between referral, sales, dispatch, and other departments as needed
• Enters new patient information into the order processing system
• Generates a referral log every day and forwards to appropriate staff
• Performs insurance verification and obtains prior authorizations for patient onboarding
• If additional information is needed to obtain authorization, direct contact with sales, case manager, physician, and patient may be required until all data is collected, and the authorization process is complete
• Performs cost analyses for new referrals and communicates information to Sales and dietician if required
• Process telephone calls and triage problems in accordance with company standards and other verbal and written training policies
• Assure deliveries are scheduled to meet patient needs and company guidelines for cost-effectiveness
• Follow proper procedures for accurate and timely documentation of referral source or patient concerns, and most importantly, take appropriate corrective actions

Financial Planning and Analysis

• Develop Excel models to analyze product-level profitability and trends
• Develop models to evaluate NPV and ROI on existing product lines and potential new business opportunities
• Lead annual budget process; provide analysis to current year results, both financial and operating statistics
• Develop and Implement process to analyze budget and prior year variances; provide assessment of opportunities to improve results to management
• Perform balance sheet reviews by line of business
• Analyze potential acquisition opportunities, including detailed review of financial statements
• Analyze and report on gross and operating margin trends by therapy, including changes in payor mix
• Lead acquired company integration efforts, post-acquisition
• Develop and implement working capital and Capex efficiency reports
• Participate in quality improvement initiatives
• Demonstrate “leadership by example” in projecting a positive attitude, and involvement in our employee activities
• Perform other duties as assigned

Director of Financial Planning – Analysis

Clinician

• Conducts initial nursing assessments for home infusion therapy
• Trains patients/caregivers on procedures and equipment
• Develop and revises care plans with the healthcare team
• Visits patients, documents compliance, and provides direct care
• Assuming on-call duties and managing patient supplies
• Coordinates care with other agencies and counsels patients on therapy
• Collaborate with Pharmacists for therapy adjustments
• Plans efficient daily routes and submits nursing notes promptly
• Triages field problems and adheres to SOPs and regulations
• Delivers "white glove" service and submits travel expense reports
• Projects a positive attitude and participates in employee activities
• Provides nursing services as requested, including weekends and evenings
• Performs other duties as assigned

Nurse Clinician

Account Executive

• Supports the Director of Sales with the development and implementation of Clinical Programs with best practices in assigned market
• Evaluates referral sources satisfaction and develops branch opportunities to improve customer satisfaction
• Initiates and develops good working relationships with referral sources and physicians to drive increased referrals
• Assesses accounts for new business opportunities and promotes new company services
• Assesses opportunities and utilizes internal and external resources to solidify relationships that will increase profitable net revenues to meet budget objectives
• Secures renewal orders with existing customers
• Follow up with accounts on a regular basis to check for client satisfaction, changing needs, territory strategies, progress in attaining sales goals, product mix, payor mix and market penetration, etc
• Initiates and coordinates in-services with clients and appropriate managers
• Identifies and establishes a strong relationship with the decision makers responsible for the control of referrals
• Develops and implements marketing plan for territory, consistent with company and corporate goals and regulatory and accrediting bodies
• Assists in developing new programs consistent with plan, client need and community desire
• Prepares materials for sales calls, presentations, and promotions, including seasonal promotions
• Meets monthly quota objectives
• Perform other duties as assigned

• Oversee billing and collections for assigned third-party payors
• Ensure timely and accurate submission, follow-up, and resolution of all issues
• Understand and communicate changes in payer guidelines and policies
• Ensure proper revenue booking
• Focus on meeting or exceeding goals and deadlines
• Collaborate with the team to identify root causes and address denial trends
• Document all actions taken on accounts worked, according to the department policy
• Protect patient privacy and confidentiality
• Demonstrate strong cybersecurity awareness and practices
• Other duties as assigned

Database Maintenance Specialist

Document Management Team Member

Patient Services Coordinator

Patient Services Coordinator

Patient Services Supervisor

Accounts Receivable Support

Respiratory Therapist – Troubleshooter

Intake Coordinator

Director of Financial Planning – Analysis

Nurse Clinician

Account Executive

Account Executive

Accounts Receivable Specialist