Director of Patient Access

Description

Promptcare is seeking a highly motivated and experienced Director of Patient Access to join our team. The ideal candidate will have a strong background in healthcare revenue cycle management and a proven track record of success in managing a team. The position will entail the management of the Reimbursement Staff responsible for patient re-authorization and documentation compliance. The Manager will ensure that proper resources, processes, and training are available to support the daily, weekly, monthly, and yearly goals of the Patient Access Team. Ensure proper follow-up is performed on all aspects of the patient billing requirements to ensure compliant and timely billings. If you are a self-starter with a passion for healthcare revenue cycle management, we encourage you to apply for this exciting opportunity. 

Job Type: Full-time, Exempt 

Location: King of Prussia, PA or New Providence, NJ

Requirements

• Must have at least five to eight years’ experience managing a patient access department, or healthcare reimbursement operation
• Bachelor’s degree preferred or comparable equivalent and related experience
• Multi-site managerial experience in a healthcare services company is strongly preferred
• Managerial experience at a complex respiratory company is a major advantage
• Previous experience in DME is required
• Medical Reimbursement knowledge is required
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, Brightree experience is required
• Strong work ethics and the desire to lead by example, with attention to detail and quality, is required
• Ability to deal directly with staff on policy or performance related issues
• Excellent oral and written communication skills are required to communicate with colleagues, management, customers, and insurance plan representatives

Job Responsibilities, included but not limited to:

• Review adjustments and denial trends and work with staff to improve collection outcomes and revenue realization as well as minimize revenue write offs and bad debt
• Identify, research, and collaborate on payer issues by maintaining open communication with payer representatives. Escalate payer issues through established grievance and appeal processes
• Suggest, implement, and update changes in policy, fee schedules and other payer limitations via Brightree or internal process according to existing payor guidelines
• Be an active participant in the education and development of all staff 
• Ensure that all departmental materials and shared documentation are up to date and current to support the team and other areas such as Customer Service and Enteral Intake
• Provide timely and regular feedback to staff on processes, compliance, performance, and attendance
• Provide regular reporting to Senior Management on unbilled AR, denial trends, staff performance and other KPI’s as needed
• Other duties as assigned

Physical Demands

The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. 

Benefits & Perks 

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity 

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.