Patient Access Manager Job at CND Life Sciences
CND Life Sciences Scottsdale, AZ 85258
The Patient Access Coordinator (PAC) will be responsible for all Patient Access Specialists (PAS) located within the Billing department to facilitate timely access to care by ensuring patient eligibility and benefits are verified prior to services. Coordinate daily activity of Patient Access Specialists tasked with verifying eligibility and obtaining prior authorizations for services when required. Provides training to PAS staff located at CND Life Sciences Corporate office as well as those that are virtual. Reconciles scheduled appointments with posted charges daily. Resolves insurance related questions from health center, PAS and RCM staff relating to payer requirements, authorizations, correcting billed claims and posting errors. Has knowledge of commonly used medical terms and procedures and is able to audit PAS' performance and provide weekly reports on improvements.
Job Responsibilities:
- Coordinates the verification of eligibility and benefits for all scheduled patients and same-day appointments
- Works with PAS staff and health plans to assist patients with resolving benefit related issues.
- Create and coordinate the reporting of scheduled appointments that have unresolved registration and authorization issues prior to patient visit.
- Obtain authorizations for pre-determined procedures when required.
- Ensure all information required to complete the billing process within 48 hours after receipt of patient engagement.
- Oversee PAS activity and assist with updating patient accounts to indicate pertinent information required for billing.
- Review Waystar daily to correct errors identified prior to patient visit and coordinate findings with assigned Clinical Services team members.
- Coordinate required documentation for payment with physician and/or other medical personnel if clarification is required.
- Maintains an effective working relationship with CND Clinicians and other regulating authorities.
- All other rel2ated duties as directed by the VP, Billing & Reimbursement.
Knowledge, Skills & Experience
- Minimum 5+ years in medical billing/revenue cycle and Patient Access experience with laboratory billing preferred
- 2-4 years of supervisory experience required.
- Experience with billing software, etc. including Medisoft and TriZetto
- Knowledge of business processes, accounting principles, billing practices, medical terms, CPT, and ICD-10 coding.
- Strong knowledge of revenue cycle management and benefits verification
- Knowledge of Medicaid and commercial insurance
- Excellent written, verbal, and interpersonal communication skills are essential, and one must communicate technical concepts clearly to a diverse audience.
- Demonstrated professional poise and empathy when dealing with customers
- Requires a high level of problem solving and analytics skills
- Ability to multitask
- Must be highly proficient in Excel and data analysis
- Strong computer-based skills, specifically with Microsoft Word and PowerPoint programs, Salesforce, Medisoft, and Microsoft programs.
Education, Certifications, and Licensures
- High school diploma or equivalent required
- Additional coursework or education (e.g., billing certificate, AA or bachelor's degree) with a focus on billing or related area preferred
Other
- The position is based at the Company’s Scottsdale, AZ headquarters or Atlanta, GA regional office and must be on site a minimum 3 days per week with schedule to be coordinated with manager.
About CND:
Founded in 2017, CND Life Sciences is dedicated to supporting the care of patients suffering from neurodegenerative diseases and other conditions. Operating a CLIA-certified laboratory in Phoenix, Arizona, CND launched the Syn-One Test™ as the world’s first commercially available test to detect, visualize, and quantify the presence of abnormal proteins in nerve fibers of the skin. The test is intended to serve as an objective, evidence-based diagnostic tool to aid in the confirmation of a synucleinopathy in patients with suspected Parkinson’s disease, dementia with Lewy body, and other serious neurological disorders. Through proprietary laboratory analysis of small punch skin biopsies performed and provided by a referring clinician, CND offers a convenient, accurate, minimally invasive alternative to add clarity and confidence in the diagnosis of neurodegenerative diseases. The company has research collaborations with multiple biopharmaceutical companies and was awarded a prestigious NIH SBIR grant in 2020 to advance its testing technology. For more information visit www.cndlifesciences.com.
Job Type: Full-time
Pay: From $50,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Supplemental pay types:
- Bonus pay
COVID-19 considerations:
Must have received or be willing to receive the COVID-19 vaccination within 30 days of date of hire to be considered. Proof of vaccination required.
Education:
- High school or equivalent (Required)
Work Location: Hybrid remote in Scottsdale, AZ 85258
Please Note :
www.epokagency.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.epokagency.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.