Patient Access Representative – Remote

Vivo Infusion, LLC

• Compensation: $19.25 – 20.25 hourly

• Benefits Offered: Medical, Dental, Vision, 401K with Match, Bonus Eligible

• Employment Type: Full Time

Why Work Here?

Vivo Infusion is a great Company to work for! There are opportunities for growth within our organization.

s To: Patient Resource Operations Manager – REMOTE

FLSA Status: Non-Exempt

GENERAL PURPOSE OF THE JOB:

The individual in this position will be responsible for reviewing insurance benefits including any financial responsibilities with patients. This person will educate and enroll patients in any qualifying financial resource programs and insurance plans. They will act as a liaison between the patient and Revenue Operations (ROPs) to maximize revenue collections, ensuring that patients understand their insurance benefits and able answer any questions regarding financial concerns.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Educate and inform patients on insurance benefits and financial responsibilities
• Ensure patients are evaluated, educated and enrolled in medication/administration assistance programs, external and internal financial programs
• Manage a case load of patients in an assigned territory, build a relationship with patients, answer questions and act as an advocate for patient needs around insurance and financial management of healthcare expenses
• Ensure access to the best financial resources available for patients with consideration of company revenue
• Input all documentation of conversations with patients and insurance carriers into EMR
• Effectively convey written and verbal information to patients, patient families, supervisors, insurance contacts, and Clinical Operations (COPs) staff
• Interface with the (ROPs) department on insurance eligibility and benefits
• Communicate and maintain contact with ROPs and management regarding patient’s accounts, which include subjects such as: COB issues, EOBs, APPs, authorizations/referrals to discuss patient responsibility portions
• Communicate with the ROPs and COPs regarding patient concerns, providing solutions to patient’s issues or following up on additional assistance needed from leadership
• Investigate any insurance issue concerning loss of coverage and determine a course of action (i.e. Appeals, Dept. of Labor, and Dept. of Insurance)
• Review EOBs and account notes to assess and advise on patient responsibility
• Recommend various insurance options such as Cobra, EGHP, Medicare, and other insurances to analyze and determine a course of action, during open enrollment and as applicable
• Assist patients in payments, payment plans and/or discuss patient balances and resolve before the collection process.

SECONDARY DUTIES AND RESPONSIBILITIES:

• Assist in various projects and perform other duties as assigned
• Maintain patient records and confidentiality
• Develop effective communication for the Home Office to promote a positive image with clinics, patients, visitors, co-workers, physicians, office personnel, and external agencies
• Devote oneself to outstanding customer service for all customers, internal and external
• Maintain an in-depth knowledge of eligibility rules and insurance policies
• Encourages team building with staff; demonstrates and supports the Vivo PRIDE culture
• Attend necessary meetings related to clinic and department activities
• Travel as needed to home office or other destinations

QUALIFICATIONS:

• High school graduate or equivalent required
• Proficient (intermediate level of application) with all Microsoft Office Products programs
• Knowledge of medical health insurance, medical billing, HIPAA, Medicare, medical abbreviations and terminology, preferred
• Must possess outstanding communication and interpersonal skills, communicate professionally and effectively with other staff members, patients, vendors and physicians, and is fluent in written and spoken English.
• Minimum 1-3 years of related prior work experience required, preferably in an infusion company, billing, insurance and/or customer experience role
• Prior experience working with sensitive information and maintaining confidentiality

WORK ENVIRONMENT & PHYSICAL DEMANDS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. The noise level in the work environment is usually low to moderate.

While performing the duties of this job, the employee is required to sit, stand; walk and talk, and hear. The employee is frequently required to sit and infrequently required to stand, lift and/or move up to 25 pounds. Requires excellent visual dexterity and manual dexterity.

This role requires travel up to 60% in state to all assigned clinics. The person in this position must be able to operate and drive a vehicle to work sites. Travel out-of-state for annual department meeting, as applicable.

Hours: 8:00 – 4:30