Patient Access Program Manager

Summary:

The Patient Access Program Manager will take a lead role in executing Relievant’s patient access program. This individual will be responsible for managing the day-to-day activities of the program, including the hiring, training and management of the patient access team. This position will help define and execute the work plan for the program, participate in the program’s strategic planning process, the training of internal and external customers and be responsible for achieving set goals and objectives for the team.

Essential Functions:

  • Manage the day-to-day program activities to meet set goals and objectives
  • Monitor and report on program metrics, identify trends and escalating issues to drive results and measure the performance of the program and team members
  • Mentor and develop the patient access team, managing work allocation, training, coaching, and performance evaluations
  • Lead the recruitment and hiring of patient access team members
  • Develop, implement and execute best practices – monitor for process improvement opportunities
  • Provide feedback and regular updates to leadership on program effectiveness, providing recommendations or escalating issues where appropriate
  • Train and present patient access program information to internal and external customers
  • Proactive communication and partnership with sales team to address and resolve program issues
  • Investigate post-service denials, perceived underpayments and assist offices in resolving issues.
  • Contribute or lead projects that are important to the success of the patient access program or process improvement initiatives
  • Manage and monitor payer trends and case volumes
  • Patient Welcome Calls and weekly reporting
  • Draft LOMN and perform Medicare reviews
  • Support direct reports due to PTO or volume increase by performing case coverage
  • Weekly quality audits for direct reports
  • Weekly 1:1 meetings with direct reports
  • Other duties as assigned

Experience:

  • 5+ years’ experience in the healthcare reimbursement environment.
  • 3+ years experience managing a team. Case Managers, Intake Specialists, or similar roles preferred.

Skills / Aptitudes:

  • Detailed knowledge of coding, billing and payment for physician offices, hospital outpatient and ambulatory surgery centers.
  • Strong knowledge of payor systems and provider contracting.
  • Demonstrated effective leadership skills.
  • Ability to work cross-functionally with internal departments (sales, marketing, training, clinical).
  • Experience with the launch of new disruptive technology, medical devices is preferred.
  • Proficient/advanced Microsoft Suite computer skills utilizing Word, Excel, PowerPoint, Smartsheet, Salesforce and Outlook.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.

Education:

  • Bachelor’s degree or a combination of education and experience providing equivalent knowledge.
  • Certification with AAPC (preferred).

Work Requirements:

  • Secure home office space with ability to protect HIPAA sensitive materials.
  • Must be willing to travel as needed (<20%).

Location:

  • Our corporate office is in Bloomington, MN, but would consider hiring remote for this position.

Where permitted by applicable law, employees of Relievant Medsystems are required to be fully vaccinated against COVID-19 as a condition of employment. If an applicant is unable to be vaccinated due to a medical condition or a sincerely held religious belief, practice, or observance, Relievant may provide reasonable accommodations.

We are proud to offer our employees an excellent compensation and benefits package and we are an equal opportunity employer.

For more information or to apply, please add the name of the position in the subject line along with your resume to: careers@relievant.com.