Patient Access Specialist, Full Time- Hybrid/Remote

VIVO Infusion - Patient Access Specialist

Hybrid/Remote

As the Patient Access Specialist, you will play a crucial role in supporting the Intake Process. You will collaborate with the Revenue Operations Lead and Manager to ensure thorough processing of referrals and patient scheduling. In this position you will also provide excellent customer service, gathering insurance authorizations and eligibility verifications. The individual is responsible for prioritizing, organizing, and completing assigned responsibilities and tasks in a timely manner.

For this position, applicants must have the following experience:

• 2 years of experience working in high-volume insurance verification, benefits, and eligibility/authorizations.
• 2 years of medical billing and authorizations or managing physician referrals.
• 1 year experience working in a customer service or patient facing role.

The Patient Access Specialist will work remotely from a home office with a secure network. Only candidates residing in the states below at the time of employment will be able to be considered.

Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, Wyoming, Washington D.C.

Compensation:

• Pay Range: $24.00 - $26.00/Hour
• Bonus Plan Target: 5% Annually (Based on performance)
• Private Equity for the Greater Good - Company-wide Employee Ownership Program

Benefits:

• Medical, Dental, Vision
  • HSA w/ Employer Contribution
  • Touchcare - Insurance Concierge Service
• 401K with Match up to 4%
• PTO: Accrual 3+ weeks
  • PTO Buy-back, PTO Rollover, and PTO Donation Program.
• Wellness Reimbursement Program - $360 Annually
• Employee Referral Bonus - Uncapped Bonus Potential
• Tuition Assistance Program & Professional Association Reimbursement
• Employee Assistance Program (Employer-provided)
• Short & long-term disability (Employer-provided)
• Life Insurance (Employer-provided)

Employment Type, Schedule, FLSA Status:

• Full-time
• Position Schedule:
  • Monday-Friday | Flexible hours 7:00am - 7:00pm EST
• Non-Exempt

Reports to: Patient Access Manage

Location:

• The Patient Access Specialist will work remotely from a home office with a secure network. Only candidates residing in the states below at the time of employment will be able to be considered. Travel with Vivo equipment is not permitted without prior approval.

  Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, Wyoming, Washington D.C.

Primary role responsibilities:

• Insurance Verification & Benefits and Authorizations
• Verify insurance eligibility and benefits for new and existing patients receiving infusion therapy and injectable medications, utilizing payer web portals (e.g., Availity, UHC Provider Portal) and direct payer contact as needed
• Coordinate benefits (COB) across primary, secondary, and tertiary payers
• Maintain working knowledge of all insurance contracts for assigned clinics and regions
• Update patient accounts with current insurance information and ensure records remain accurate and current
• Submit prior authorization requests (medical benefits) for infusion therapy via phone, fax, and payer web portals, and follow up to ensure timely determination
• Maintain authorization renewals for existing patients to ensure continuity of care
• Manage initial insurance denials and appeals specific to infusion therapy, including drafting clinical justification and coordinating with provider offices for supporting documentation
• Apply working knowledge of applicable CPT, HCPCS, and ICD-10 codes to authorization submissions
• Referral & Documentation M