Patient Conversion Advocate

Family Allergy & Asthma • Louisville, KY

4h • Remote

About The Position

The Patient Conversion Advocate is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of Vice President; respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Requirements

• High School Diploma
• Minimum 2 years of recent AR experience in a healthcare setting preferred
• Proficient with Microsoft applications
• EMR experience – 2 years
• Proficient in denial management
• Experience working with Commercial, Medicare, and Medicaid plans.
• Experience working in fast-paced, high-volume, multi-provider practice.
• Understanding of the Revenue Cycle, including admission, billing, payments, and denials.
• Must be at least 18 years of age

Nice To Haves

• Some onsite training required may be necessary

Responsibilities

• Engages with patients recommended for IT therapy (SCIT OR SLIT) to convert them to adherence of treatment recommendations.
• Schedules patient to begin IT Therapy.
• Sets up payment plans for IT therapy as necessary during IT Therapy conversion process.
• Patient follow-up when applicable to ensure patient is scheduled or declines.
• Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states.
• Identifies trends and notifies leads and managers immediately to establish a plan of action.
• Follows SOPs
• Proficient in Excel
• Proficient in Availity Essentials
• Communicates with other departments via shared spreadsheets and conducts regular follow-ups on cross-communication.
• Able to speak professionally to patients regarding next steps to convert patient care to a plan with FAA

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED