Patient Access Manager
About The Position
PromptCare is seeking a highly motivated and experienced Patient Access Manager to join our growing team. This role is ideal for a results-driven professional with a strong background in healthcare, including Durable Medical Equipment (DME), and a proven ability to lead and develop high-performing teams. The Patient Access Manager will oversee staff responsible for patient re-authorization, Certificate of Medical Necessity (CMN) management, and documentation compliance, ensuring accuracy, efficiency, and adherence to regulatory standards. This position plays a critical role in supporting the success of the Reimbursement Team by implementing effective processes, providing ongoing training, and ensuring appropriate resource allocation.
Requirements
- Bachelor’s degree preferred or comparable equivalent and related experience
- Previous experience in DME is required
- Medical Reimbursement knowledge is required
- Prior experience managing or overseeing staff 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
