Patient Assistance Manager

Position Summary: The Patient Assistance Program (PAP) Manager is responsible for leading the organization's patient assistance and financial advocacy program. 

Roles and Responsibilities:

•    Oversees the identification, coordination, and management of manufacture-sponsored assistance programs, charitable foundations, copay assistance, and other financial resources that help eligible patient access prescribed therapies.

•    Ensure full compliance with all company policies and procedures within the department with regard to Patient Assistance, Financial Hardship, and Patient Payment Policies.

•    Ensure timely enrollment, compliance with program requirements, maximize available funding opportunities, and provide leadership to the Patient Assistance team while promoting an exceptional patient experience.

•    Full understanding of third party billing requirements regarding services covered, billing look back periods, and program requirements.

•    Lead, mentor, and develop the patient assistance team to ensure high-quality service and achievement of departmental goals.

•    Collaborate with Intake, Pharmacy, Clinical, Billing and Revenue Cycle teams to coordinate patient access to therapy and minimize delays in treatments.

•    Develop and maintain departmental policies, standard operating procedures, and workflows related to patient assistance activities.

•    Collaborates with team members on any issues regarding billing and collections. Identify root causes and provide resolution.

•    Monitor key performance indicators (KPls) including approval rates, turnaround times, funding obtained, and patient outcomes.

•    Stay current on changes to manufacturer assistance programs, charitable foundation eligibility requirements, and industry regulations. Update leadership of material changes to program and eligibility requirements.

•    Identify opportunities for process improvement to enhance efficiency, patient satisfaction, and financial outcomes.

•    Utilizes the data produced to drive positive results in both billing and collection productivity with co pay programs, foundations, and government programs.

•    Participate in meetings in connection with patient assistance intake, billing, and collection.

•    Have an excellent understanding of software applications utilized by the company

•    Ensure compliance with manufacturer guidelines, foundation requirements, HIPAA regulations, and organizational policies.

•    Gives high priority to client satisfaction and customer needs

•    Other duties as assigned

Qualifications and Experience:

•    Bachelors of Science degree or 10 years of related work experience

•    5 years with patient financial assistance, reimbursement, specialty pharmacy, healthcare, revenue cycle, or related healthcare setting

•    Previous leadership or supervisory experience preferred.

•    3 years of AIC, AIS, and home infusion experience is preferred

•    Knowledge of basic accounting principles

•    Knowledge of data mining software and producing reports

•    Strong knowledge of manufacturer patient assistance programs, co pay assistance programs, charitable foundations, Medicare, Medicaid and commercial reimbursement.

•    Excellent communication, organizational, analytical, and problem-solving skills.

•    Experience and competency with healthcare software systems, and Microsoft office software

•    Ability to handle stress and meet deadlines

•    Complete understanding of confidentiality with respect to company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as they apply to confidentiality of protected health information (PHI), and electronic protected health information (EPHI}.

•    Follow HIPAA guidelines regarding readily identifiable protected health information.