Patient Management Team Lead

Description

The Patient Management Team Lead will be responsible for the management of all insurance, therapy and dose changes for active patients receiving therapy from Promptcare. They will be responsible for communication and coordination with the payor, patient, and all internal departments to report the impact of these changes. If you are passionate about providing exceptional patient care and are looking for a challenging and rewarding career, we encourage you to apply for this exciting opportunity. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion

Reporting to: Departmental Supervisor or Manager

Job Type: Full-time, 40 hours per week, Monday-Friday

Requirements

• High School Diploma. Associates preferred
• Previous experience working with healthcare professionals is preferred
• Previous benefit verification/reauthorization experience highly preferred
• Excellent time management, organization and multi-tasking skills are required
• Clear verbal communication and concise documenting skills are required
• Previous experience with specialty pharmacy patient admissions and/or customer service in a similar referral source-based practice setting is strongly preferred

Job Responsibilities, included but not limited to:

• Benefit Verification for Insurance Changes, Therapy Changes & Dose Changes
• Responsible for assisting in training existing colleagues and onboard new hires
• Assists with the daily assignment of work amongst the patient management team
• Assist with trouble shooting complex cases and items needed for escalation. Also responsible to cascade escalations to the Patient services manager and director as needed
• Responsible for assisting in e-mails and voicemails taking place outside of the patient management tracker
• Responsible for assisting in the development of SOP’s and workflows to help build departmental efficiencies
• Manage New / ReAuthorization accounts under new insurance plan for insurance changes
• Manage New / ReAuthorizations accounts for drug or dose changes under existing plan
• Update payor information and binoculars in CPR
• Update existing orders to show the correct payor in CPR
• CCX Monthly Verifications
• Manage internal email communication to and from other departments
• Attend to Urgent / Same Day Requests 
• Other duties as assigned

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. Requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies of 20 pounds but no more than 35 pounds.

Benefits & Perks 

• 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
• Employee Referral Bonuses
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity 

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.