Director of Patient Access and Retention

3 weeks ago

Columbia, United States Palmetto Infusion Full time

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service - always delivering a warm and attentive health care experience that boosts patients' state-of-mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

The Director of Patient Access and Retention is directly responsible for the development, implementation, and overall operation of the Insurance Case Managers and Patient Account Specialists. This position is responsible for implementing insurance verification/authorization best practices, and ensuring accurate co-payment information is communicated in a timely manner to patients. The Director works collaboratively as an integral member of a multidisciplinary team, partners with the Reimbursement, Pharmacy Services, Clinical Services and Intake leadership staff to promote customer service, streamline process flow and process improvements, ensure operational integrity, and achieve best-in-class service standards.

Schedule: Monday - Friday; 8:00 AM - 5:00 PM

Minimum Qualifications:

Experience/Education:

* Associate Degree in a medical specialty -OR- equivalent work experience of 10 years
* 5 years of leadership experience and 5 years of work related experience
* Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
* Ability to cope with ambiguous, changing environment while under pressure in a calm
* Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

* Responsible for oversight of the daily operations regarding insurance benefits, patient assistance, patient account management, and case management, including but not limited to benefit verification, prior authorization, copay assistance, and communication of patient financial responsibilities.
* Develops, monitors, coaches, and manages staff, ensuring the continuous development of employees through orientation, training, establishing objectives, constructive feedback and corrective action.
* Develops and monitors key quality and productivity metrics, creating a culture of accountability and excellence.
* Serves as a facilitator and intradepartmental team builder, primarily with Patient Services and Reimbursement teams.
* Provides on-going, clear, measurable performance expectations, and feedback for staff. Effectively and consistently guides and counsels staff.
* Understands coverage principles and requirements for denial letters for all payers.
* Maintains knowledge and proficiency in medical practices through continuing education, staff meetings, workshops, and home study.
* Supports the marketing efforts of Palmetto Infusion by assisting the Sales Team, providing educational programs to referral sources as requested.
* Participates in Performance Improvement processes.

About the Benefits:

* Competitive Compensation
* Comprehensive Medical Insurance
* Dental and Vision Insurance
* Company Life Insurance
* Voluntary Life and Disability Insurance
* Additional Voluntary Supplemental Plans
* Flexible Spending Account (Medical and Dependent Care)
* Health Savings Account
* 401K Retirement Plan
* Employee Assistance Program (EAP)
* Employee Discounts
* Ramsey SmartDollar Program
* Referral Program
* Tuition Assistance
* Paid Time Off
* 8 Paid Company Holidays

Physical Demands:

* The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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