Patient Access Representative

1 month ago

Houston, United States Aveanna Healthcare LLC Full time

Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, compassionate people who are driven to fulfill our mission to revolutionize the way pediatric healthcare is delivered, one patient at a time.

At Aveanna, every employee plays an important role in bringing our mission to life. The ongoing growth and success of Aveanna Healthcare remain dependent on our continued ability to consistently deliver compassionate, committed care for medically fragile patients. We are looking for talented and committed individuals in search of a rewarding career with a company that values Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.

Position Overview

The Patient Access Respresentative is responsible for proactively requesting and obtaining prescriptions and authorizations from medical offices and insurance companies for a set portfolio of patients. The Patient Access Specialist contacts physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services and to ensure complete and accurate information is documented.

The starting pay for our Patient Access team is $17.00 per hour. In addition to compensation, our full-time employees are eligbile to receive the following competitive benefit package including: Health, Dental, Vision, Life and many other options, 401(k) Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity

**Position Hours are Central time zone based. Candidates located in these states will be prioritized for consideration.

Essential Job Functions
• Send prescription and authorization requests to medical offices and insurance companies for renewals and prescription/insurance changes
• Follow up with medical offices and insurance companies as needed to ensure requests are received in timely manner
• Resolve patient, medical office and insurance company questions and concerns regarding Certificate of Medical Necessity (CMN) and/or Participating Provider (PAR)
• Re-verify monthly patient eligibility for continued services
• Meet daily, monthly and quarterly metrics and goals set by management
• Ensure work being performed meets internal and external compliance requirements

Position Qualifications
• High school diploma or GED
• Two years in a related administrative/customer service role; healthcare or medical office

Preferences

• Associates Degree in medical office management, medical insurance, or medial coding.

• Insurance authorization and/or precertification. Knowledge of home health, DME and Enteral nutrition products
• Medical Billing and Coding Certification

Other Skills/Abilities
• Proficient in Microsoft suite of products including Outlook, Word and Excel.

• Strong basic math and accounting skills.

• Strong critical thinking and problem solving skills.

• Must possess a strong sense of urgency and attention to detail.

• Excellent written and verbal communication skills.

• Proven ability to work independently at times and within a team.

• Ability to adapt to change.

• Demonstrated ability to prioritize multiple tasks to meet deadlines.

• Demonstrated ability to interact in a collaborative manner with other departments and teams.

Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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