Patient Navigator Supervisor

Mercalis•,

7d•Hybrid

About The Position

The Patient Navigator Supervisor role focuses on supporting the team of Patient Navigators, educating healthcare providers and patients on access, coverage, and reimbursement support. This role will be regionally aligned to best support patients. This position combines exceptional customer service, relationship management, and expertise in reimbursement practices to provide personalized support and ensure compliance with all healthcare regulations.

Requirements

Minimum five (5) years of Leadership experience
Completion of Bachelor's degree (or higher) required.
Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
Ability to prioritize tasks and work efficiently in a fast-paced environment.
Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.

Nice To Haves

A degree in healthcare administration, social science or similar related fields is strongly preferred.
Minimum five (5) years of experience in healthcare access delivery or management is strongly preferred.
Five (5) to ten (10) years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
Other certifications and five (5) or more consecutive years of experience in relevant field could be considered. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
Bilingual / Multilingual is a plus.
Prefer candidates who can type at least 35 words per minute with 97% accuracy.
flexibility to travel as needed is preferred.

Responsibilities

Support and Mentor team of Patient Navigators
Serves as the “go to” subject matter expert internally to support Patient Navigators in assigned region (s)
Handles escalated healthcare provider account, patient and/or client field identified issues
Acts as a single point of contact for client field reimbursement team leadership and participates in regional meetings as required
Submits daily and weekly reports to the Program Manager regarding productivity statistics at both the team and employee level
Manages special projects and tasks as assigned by program leadership
Coordinate and collaborate with client field teams, following agreed upon business rules and guidelines
Ensure all activities comply with healthcare laws, regulations, and Mercalis standard operating procedures (e.g., HIPAA, insurance guidelines).
Participate in team meetings and ongoing training to stay updated on policies and procedures.
Utilize Mercalis’ leadership competencies as the driving force behind the team’s success
On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
Ensure all SOPs are followed with consistency
Conducts miscellaneous tasks or projects as assigned

Benefits

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Additional health support, including telehealth and Employee Assistance Program (EAP) services
Company match on Health Savings Account contributions
Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
Paid Time Off (PTO) and Sick Leave to support work-life balance
Team members receive nine paid holidays plus two floating holidays
Opportunities for advancement in a company that supports personal and professional growth
A challenging, stimulating work environment that encourages new ideas
Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
A mission-driven, inclusive culture where your work makes a meaningful impact