Patient Access Case Manager
3 weeks ago
A-Line Staffing Solutions is seeking a skilled Patient Access Case Manager to join our team. As a vital part of our front-line patient and caregiver support, you will act as a Social Determinants of Health (SDOH) resource for patients and family members throughout their patient assistance journey.
The ideal candidate will provide patient-centered support, act as liaison between patients, caregivers, medical professionals, internal and external matrix partners, and assist patients/caregivers as appropriate to function as a patient advocate, educator, and single point of contact for patients, and caregivers.
Responsibilities include:
- Assisting patients/caregivers as appropriate to function as a patient advocate, educator, and single point of contact for patients, and caregivers.
- Fielding incoming phone calls from patients, caregivers, and providers; triaging calls and routing to the appropriate team for further action if applicable.
- Providing scripted information on how patients can access reliable sources of information through various resources available.
- Assessing patient's needs upon initial welcome call and through navigation, matching the patient's needs with appropriate resources and support within program offerings.
- Providing newly registered patients with a welcome call including patient support materials and resources.
- Adhering to all appropriate compliance standards outlined in business rules, policies, and SOPs.
- Assessing patient barriers based on SDOH which include factors such as, but not limited to, socioeconomic status, education, housing, transportation, food, physical environment, employment, and social support networks, as well as access to healthcare.
- Referencing patients to aligned resources within program service offerings.
- Identifying patients closest SDOH resource outlet and assisting in scheduling to obtain available resources.
- Receiving incoming data related to patient support programs such as enrollment forms, insurance cards for benefits investigations for review, saving related documents within the patient database, triaging, and routing data to the appropriate department or team member as applicable.
- Conducting benefit investigation and prior authorization with payers.
- Providing updates and partnering with all team members to ensure patients are served in a timely manner.
- Participating and supporting multiple ongoing department projects.
- Ensuring patient-centered excellence in supporting all internal and external stakeholders involved in the patient journey.
Requirements include:
- Bachelor's Degree preferred and 2-3+ years' experience in healthcare practice management or patient services setting.
- Patient support and access with call center experience. Patient assistance, reimbursement, and/or oncology experience. Medical coding, coverage, policy, and payment experience strongly preferred.
- Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
- Excellent oral, written, and interpersonal communication skills. Ability to multi-task. Ability to work independently and function as a team player. Ability to work in a fast-paced, metric-driven environment, while remaining patient-minded. Ability to clearly and consistently demonstrate compassion and empathy.
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