Remote Care Navigator Jobs in Colorado (NOW HIRING)

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.

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 Director

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:

• Verify patient insurance eligibility and benefits.
• Ensure referral packet and all relevant information is received from referring providers and scanned to the appropriate location in the medical record & billing system.
• Maintain working knowledge of all insurance contracts.
• Maintain working knowledge of applicable CPT, HCPC, and ICD-10 codes.
• Contact insurance companies with all appropriate codes to obtain correct prior approval(s) for referrals and maintain ongoing approvals for continued payment.
• Research and review insurance medical policies to ensure the referral meets all requirements and guidelines to include step therapy requirements, diagnosis conditions, dosing limitations, etc.
• Become familiar with drug copay assistance program requirements to identify whether a patient meets base eligibility conditions.
• Report referral progress in tracking system and spreadsheets.
• Data entry of patient information into electronic medical record.

Additional role responsibilities:

• Must maintain professional communication (written and verbal) when interacting with corporate insurances, internal team members, referring provider offices, and patients.
• Communicate and maintain contact with Patient Care Navigator and Patient Resource Operations Teams regarding patient accounts to discuss concerns such as missing referral documents, COB issues, patient financial concerns, authorizations, and referrals.
• Utilize appropriate templates, conventions, formats, and distributions for communication via email and all applicable tracking, notation, and communication systems.
• Assist in various projects such as account audit reports, system update projects, data entry & reconciliation, acquisition assistance, etc.
• Maintain patient records and confidentiality via the Electronic Medical Record System.

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Qualifications:

• High school diploma or equivalent, required.
• 2 years of experience working in a similar capacity within the healthcare industry, required.
• 1 year working in a patient-facing or customer service role, required.
• Microsoft Office, Outlook, Excel, and PowerPoint proficiency, required.
• Knowledge of Medicare & commercial/private insurance benefits, medical authorizations and billing, HIPAA, and medical abbreviations and terminology, preferred.
• Must possess outstanding communication and interpersonal skills, be able to communicate professionally and effectively with other staff members, patients, vendors, and physicians, and be fluent in written and spoken English, required.
• Prior experience working with sensitive information and maintaining confidentiality, preferred.
• Private secure internet connection for your designated at-home work environment, required.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Who We Are:

The Vivo Infusion team is focused on providing patients with the highest quality of care in a comfortable, safe, and convenient setting! Vivo is a national company with locations in 15 states, providing opportunities for growth and advancement as well as competitive benefits that support what matters most to you.

Our highly trained medical professionals are dedicated to delivering a safe, comfortable, and affordable solution for our patients. We offer an array of advanced therapeutics and provide personalized, care for every patient. These treatments are delivered by a highly-skilled, clinical nursing staff and monitored by board-certified advanced practitioners.

Vivo Infusion has received The Gold Seal of Approval from The Joint Commission.

The Joint Commission Gold Seal of Approval is a nationally recognized distinction voluntarily earned by a select set of healthcare providers.

An organization that achieves The Gold Seal of Approval shows its commitment to holding itself accountable to a high bar for quality and safety for those they serve.

Learn more about Vivo, by visiting our website: https://vivoinfusion.com/

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Work Environment & Physical Demands:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job.

The employee is frequently required to sit for long periods. While performing the duties of this job, the employee is required to sit, talk, type, and hear. Requires excellent visual dexterity and manual dexterity.

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RECRUITMENT PRIVACY STATEMENT | Notice to All Applicants:

Vivo Infusion posts all open positions on the Careers page of the company website: https://vivoinfusion.com/careers/

Applicants will never be asked to provide personal identification information (e.g., SSN, Drivers License, Passport) or financial information (e.g., Banking Information) during the application and Interviewing process.

We may request:

• Contact details such as name, address, email address, and phone number.
• Employment history including previous employers and job titles/positions.
• Background information including academic/professional qualifications, job qualifications, education, certifications or licenses, details included in your CV/resume, transcripts, and employment references.
• Nominated references including their name, contact details, employer, and job role.
• Proof of your eligibility to work in the US.
• Desired salary.

If you have any questions or concerns about this Recruitment Privacy Statement or how we handle your personal data, please contact us at 855.478.1528 or emailing Info@VivoInfusion.com.