Patient Access Team Lead
3 weeks ago
About the Role:
Soleo Health, Inc. is seeking a Patient Access Supervisor to support our Home Infusion Specialty Pharmacy. As a key member of our team, you will provide day-to-day oversight of the Patient Access team, ensuring the efficient and effective management of patient access processes.
Responsibilities:
- Provide daily support and guidance to direct reports, ensuring they have the necessary tools and resources to excel in their roles.
- Oversee and conduct team staffing, coaching, accountability, annual reviews, and performance improvement plans to ensure the team is working at optimal levels.
- Evaluate workload and adjust staffing to fit program needs by assigning referrals and delegating tasks to team members.
- Assist with workload tasks such as benefit verification, prior authorization, reauthorization/reverification, and patient calls to ensure turnaround times are met.
- Serve as a point of escalation for calls requiring a higher degree of expertise or discretion to resolve customer issues.
- Conduct candidate sourcing, interviews, hiring, and onboarding to ensure the team has the necessary talent to succeed.
- Facilitate intradepartmental communications to national intake and branch staff to ensure seamless coordination and collaboration.
- Analyze referral trends, new products, specialty product shortages, and access solutions to identify opportunities for improvement.
- Participate in cross-functional workgroups, teams, and committees as assigned to drive business results and improve processes.
- Complete all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of leadership.
Requirements:
- High School diploma or equivalent required.
- At least 3 years of home infusion pharmacy experience required.
- At least 3 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
- Previous healthcare management experience required.
- Previous medical and pharmacy benefit experience required.
- Ability to interpret payor contract fee schedules based on NDC and HCPCS units.
- Ability to effectively handle multiple priorities within a changing environment.
- Intermediate level skill in Microsoft Word.
About Us:
Soleo Health, Inc. is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference.
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