Patient Services Manager

Key Responsibilities

• Receiving and processing new patient referrals, gathering necessary demographic, medical, and insurance information.
• Outbound and inbound professional communications, interface with BPO partners and quality control measures.
• Insurance Verification: Verifying patient insurance coverage and benefits for DME services.
• Collaborating with healthcare professionals, such as physicians and nurses, to develop and implement care plans.
• Maintaining clear and effective communication with patients, families, and other healthcare team members.
• Record Management: Ensuring accurate and timely documentation of all intake activities and patient information in the agency's system.
• Compliance: Adhering to all relevant regulations and agency policies regarding patient intake and data management, including but not limited to: CMS, Healthcare Accreditation, OFCCP guidelines related to our Quality Management System, documentation and process creation and training.

Management of People

• Overseeing the intake team, including hiring, training, and performance management, timecards, absence and metrics dissemination, overtime.

Essential Skills

• Strong communication and interpersonal skills: To interact effectively with patients, families, and healthcare professionals, both written and verbal.
• Excellent organizational and time management skills: To manage a high volume of referrals and ensure timely processing of information.
• Attention to detail: To ensure accuracy in patient records and insurance information.
• Critical Thinking: Especially in high pressure situations.
• Knowledge of healthcare regulations and insurance processes: To navigate the complexities of DME care.
• Problem-solving skills: To address any issues or challenges that may arise during the intake process.

Required Skills & Abilities

• High School or equivalent required, associates/bachelor’s degree preferred.
• 1+ years of experience in healthcare operations, customer service, or similar role or setting preferred.
• Must be able to use SalesForce or Epic, fax, email, GSuite or Office, in/outbound calls with appropriate grammar, spelling and punctuation.
• Comfortable handling sensitive and confidential Information (HIPAA).
• Supervises others while maintaining their own workload, holding others accountable
• Adaptable to changes in policies and workflow.
• Advanced skills in reviewing medical documentation, specifically looking for criteria per medical policy.
• Experience preferred in DME, outpatient offices and/or Insurance benefits and authorizations; but not required.

Job Requirements & Physical Demands

• Must be able to lift 40 pounds, must be able to lift 40 pounds from the floor and lift to waist level.
• Must be able to kneel, stoop, climb stairs and reach with hands and arms.
• Reliable work transportation.
• Candidates must pass an extensive background check.
• Strict adherence to HIPAA, Medicare Fraud, Waste, and Abuse and privacy regulations in all patient interactions.

Job Requirements

• Must be able to lift 40 pounds, must be able to lift 40 pounds from the floor and lift to waist level.
• Must be able to kneel, stoop, climb stairs and reach with hands and arms.
• Reliable work transportation.
• Candidates must pass an extensive background check.
• Strict adherence to HIPAA, Medicare Fraud, Waste, and Abuse and privacy regulations in all patient interactions.

Physical Demands

• Must be able to lift 40 pounds, must be able to lift 40 pounds from the floor and lift to waist level.
• Must be able to kneel, stoop, climb stairs and reach with hands and arms.

Qualifications

• High School or equivalent required, associates/bachelor’s degree preferred.
• 1+ years of experience in healthcare operations, customer service, or similar role or setting preferred.
• Must be able to use SalesForce or Epic, fax, email, GSuite or Office, in/outbound calls with appropriate grammar, spelling and punctuation.
• Comfortable handling sensitive and confidential Information (HIPAA).
• Supervises others while maintaining their own workload, holding others accountable
• Adaptable to changes in policies and workflow.
• Advanced skills in reviewing medical documentation, specifically looking for criteria per medical policy.
• Experience preferred in DME, outpatient offices and/or Insurance benefits and authorizations; but not required.

Skills

• Strong communication and interpersonal skills: To interact effectively with patients, families, and healthcare professionals, both written and verbal.
• Excellent organizational and time management skills: To manage a high volume of referrals and ensure timely processing of information.
• Attention to detail: To ensure accuracy in patient records and insurance information.
• Critical Thinking: Especially in high pressure situations.
• Knowledge of healthcare regulations and insurance processes: To navigate the complexities of DME care.
• Problem-solving skills: To address any issues or challenges that may arise during the intake process.

Benefits

None specified.

Pay

None specified.

Schedule

None specified.