This position will report to the Director of Patient Services.
Job DescriptionRoles and Responsibilities
- Oversee daily operations of all patient services support center programs and activities.
- Will be the subject matter expert on all patient services support center programs, including operations, processes, commercial integration, and strategy.
- Ensure seamless coordination of case escalation between all patient services support center programs and the Field Reimbursement Managers.
- Will develop and drive program specific KPIs, analytics and dashboards to ensure program performance and service.
- Ensure exceptional customer experience withall patient servicessupport centers through systematic VOC.
- Responsible for the development of all launch activities related to allpatient servicessupport programs, and the patient services short- and long-term strategy.
- Provides recommendations on support center programs enhancements/additions to mitigate customer challenges and help improve patient experience.
- Lead and coordinate the development of SOPs, business rules, work instructions, talking points and job aids related to all patient services support center programs.
- Drive innovation by identifying process improvements that will enhance our customers experience, engagement, and efficiencies.
- Ensure all patient support activities are compliant with all applicable laws, regulations and internal policies and procedures.
Required Qualifications
- Bachelor’s degree
- Minimum of 8 years’ experience in the US healthcare medical device, or pharmaceutical sector.
- Minimum of 3 - 5 years’ US Patient Service experience including directly working for or with HUBs or reimbursement call centers.
- Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes.
- Strong knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics.
- Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning.
- Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations.
- Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives.
- Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions.
- Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills.
- Ability to operate independently and successfully as a leader in a matrix environment.
- Highly organized, strategic thinker with excellent verbal and written presentation skills.
- Demonstrated competence with CRM systems, PowerPoint, Excel & Word.
Application Deadline: December 30, 2024