PromptCare

Director of Patient Services – Home Infusion

PromptCare

full-time

Posted on:

Location Type: Remote

Location: KansasUnited States

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About the role

  • Leading patient services which includes patient management, reauthorizations, and documentation across our existing patients who are on service.
  • Drive process improvements to optimize billing timelines, cash collections, and DSO.
  • Proactively ensure that disruption to ongoing care for patients is minimized resulting from insurance, physician, medication or other changes.
  • Empower teams to deliver exceptional service to both internal and external stakeholders.
  • Reports to: VP of Reimbursement – RCM
  • Keep abreast of insurance coverage guidelines and infusion reimbursement terms for the vast array of insurances on the market.
  • Assume direct management over Reauthorization, Patient Management and Document Management.
  • Maintain knowledge of reimbursement principles.
  • Consistently works toward becoming a subject matter expert relative to Medicare, Medicaid and insurance company requirements for home infusion services.
  • Results oriented in achieving assigned cash collection and DSO goals.
  • Communicate effectively and express ideas clearly.
  • Prepare department reports to serve as resource both for the VP of Reimbursement and VP of Intake and update them as needed.
  • Maintain confidentiality of company and patient information.
  • Always maintains courteous demeanor.
  • Work effectively and maintains expected productivity.
  • Take all data and present to decision makers when identifying areas of improvement.
  • Maintains knowledge of, and compliance to all applicable laws, regulations, and SOPs always.
  • Provide effective employee training.

Requirements

  • Bachelor’s degree in business administration or communication, or related field
  • 2+ years of experience in Billing and Collections
  • 2+ years of Management experience
  • Strong understanding of benefits/authorization and billing of Infusion
  • Strong knowledge of Managed Care contracts
  • Previous experience reimbursement billing and collections and customer service in a similar referral source-based setting is strongly preferred
  • Must have strong PC skills, especially the MS Office suite.
  • Previous experience with the pharmacy order processing system CPR+ billing software experience is a major advantage (although training will be provided)
  • A strong work ethic and desire to serve our Reimbursement Team is required
  • A strong desire and ability to take care of claims issues while following company procedures is required
Benefits
  • Comprehensive Medical, Dental, and Vision Package
  • 401(k) Plan with Company Match
  • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
  • Life Insurance: Standard coverage with optional enhancements
  • Employee Assistance Program: Free counseling and coaching sessions
  • Emotional Well-being and Work-Life Balance Resources
  • Short & Long-Term Disability: Company-paid with optional supplements
  • Accidental Death and Dismemberment Insurance
  • FSA and HSA: Manage healthcare expenses
  • Commuter Spending Programs
  • Volunteer and Engagement Opportunities
  • Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
billingcollectionspatient managementreauthorizationdocumentationreimbursement principlesinfusion reimbursementManaged Care contractsclaims managementcustomer service
Soft Skills
leadershipcommunicationresults orientedcourteous demeanorteam empowermentconfidentialityproductivityprocess improvementtrainingproblem-solving