
Director of Patient Services – Home Infusion
PromptCare
full-time
Posted on:
Location Type: Remote
Location: Kansas • United States
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Job Level
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