Patient Access Specialist, Full Time- Remote jobs in United States
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Vivo Infusion® · 4 hours ago

Patient Access Specialist, Full Time- Remote

Vivo Infusion is a national company focused on providing high-quality patient care in a safe and convenient setting. The Patient Access Specialist will support the intake process by verifying patient insurance eligibility, managing referrals, and ensuring excellent customer service while collaborating with the Revenue Operations team.

Health CareHospitalTherapeuticsWellness

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
Must maintain professional communication (written and verbal) when interacting with corporate insurances, internal team members, 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
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

Qualification

Insurance verificationMedical billingPatient schedulingMicrosoft Office proficiencyMedicareCustomer service skillsCommunication skillsInterpersonal skillsConfidentiality

Required

High school diploma or equivalent, required
2 years of experience working in a similar capacity within the healthcare industry, required
1 year working in a patient-facing or customer service role, required
Microsoft Office, Outlook, Excel, and PowerPoint proficiency, required
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
Private secure internet connection for your designated at-home work environment, required

Preferred

Knowledge of Medicare & commercial/private insurance benefits, medical authorizations and billing, HIPAA, and medical abbreviations and terminology, preferred
Prior experience working with sensitive information and maintaining confidentiality, preferred

Benefits

Medical, Dental, Vision
HSA w/ Employer Contribution
Touchcare - Insurance Concierge Service
401K with Match up to 4%
PTO: Accrual 3+ weeks
PTO Buy-back, PTO Rollover, and PTO Donation Program.
Wellness Reimbursement Program - $360 Annually
Employee Referral Bonus - Uncapped Bonus Potential
Tuition Assistance Program & Professional Association Reimbursement
Employee Assistance Program (Employer-provided)
Short & long-term disability (Employer-provided)
Life Insurance (Employer-provided)

Company

Vivo Infusion®

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Vivo Infusion® is a leading provider of accessible, affordable, and safe community-based infusion and injection care for patients suffering from compromised immune systems, infectious diseases, and other medical conditions.

Funding

Current Stage
Late Stage

Leadership Team

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Dan Allen
Chief Financial Officer
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Sue Rottura
Chief Operating Officer
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Company data provided by crunchbase