Director of Patient Access

PROMPTCARE COMPANIES INC • King of Prussia, PA

120d

About The Position

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.

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

Responsibilities

• 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

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees