Patient Advocate Supervisor
About The Position
Serve as a senior patient advocate and escalation point for complex patient cases. Ensure patients understand insurance benefits, coverage limitations, co-pays, deductibles, and out-of-pocket responsibilities. Assist patients with enrollment in financial assistance programs, manufacturer copay programs, foundation grants, and charity care. Advocate for timely access to treatment by resolving authorization, coverage, or financial barriers. Supervise, train, and support Patient Advocates and related staff. Assign workloads, monitor productivity, and ensure timely case resolution. Foster collaboration between patient advocacy, clinical teams, billing, and scheduling. Oversee insurance verification, benefits investigations, and prior authorization processes. Ensure compliance with payer requirements and timely submission of documentation. Escalate payer issues and coordinate peer-to-peer reviews when necessary. Ensure adherence to HIPAA, payer regulations, and organizational policies. Maintain accurate and timely documentation in the EHR and related systems. Participate in audits and quality assurance reviews related to patient advocacy and access to care. Track and report key performance indicators, such as authorization turnaround time, financial assistance approvals, and patient access delays.
Responsibilities
- Serve as a senior patient advocate and escalation point for complex patient cases.
- Ensure patients understand insurance benefits, coverage limitations, co-pays, deductibles, and out-of-pocket responsibilities.
- Assist patients with enrollment in financial assistance programs, manufacturer copay programs, foundation grants, and charity care.
- Advocate for timely access to treatment by resolving authorization, coverage, or financial barriers.
- Supervise, train, and support Patient Advocates and related staff.
- Assign workloads, monitor productivity, and ensure timely case resolution.
- Foster collaboration between patient advocacy, clinical teams, billing, and scheduling.
- Oversee insurance verification, benefits investigations, and prior authorization processes.
- Ensure compliance with payer requirements and timely submission of documentation.
- Escalate payer issues and coordinate peer-to-peer reviews when necessary.
- Ensure adherence to HIPAA, payer regulations, and organizational policies.
- Maintain accurate and timely documentation in the EHR and related systems.
- Participate in audits and quality assurance reviews related to patient advocacy and access to care.
- Track and report key performance indicators, such as authorization turnaround time, financial assistance approvals, and patient access delays.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
