Patient Access Manager

Description:

PromptCare is seeking a highly motivated and experienced Patient Access Manager to join our growing team. This role is ideal for a results-driven professional with a strong background in healthcare, including Durable Medical Equipment (DME), and a proven ability to lead and develop high-performing teams.

The Patient Access Manager will oversee staff responsible for patient re-authorization, Certificate of Medical Necessity (CMN) management, and documentation compliance, ensuring accuracy, efficiency, and adherence to regulatory standards. This position plays a critical role in supporting the success of the Reimbursement Team by implementing effective processes, providing ongoing training, and ensuring appropriate resource allocation.

Job Type: Full-time, Exempt

Location: King of Prussia, PA- hybrid 2 days in the office (would consider remote but must be local to one of the offices)

Requirements:

• Bachelor’s degree preferred or comparable equivalent and related experience
• Previous experience in DME is required
• Medical Reimbursement knowledge is required
• Prior experience managing or overseeing staff is required
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, Brightree experience is required
• Strong work ethics and the desire to lead by example, with attention to detail and quality, is required
• Ability to deal directly with staff on policy or performance related issues
• Excellent oral and written communication skills are required to communicate with colleagues, management, customers, and insurance plan representatives

Job Responsibilities, included but not limited to:

• Review adjustments and denial trends and work with staff to improve collection outcomes and revenue realization as well as minimize revenue write offs and bad debt
• Identify, research, and collaborate on payer issues by maintaining open communication with payer representatives. Escalate payer issues through established grievance and appeal processes
• Suggest, implement, and update changes in policy, fee schedules and other payer limitations via Brightree or internal process according to existing payor guidelines
• Be an active participant in the education and development of all staff.
• Ensure that all departmental materials and shared documentation are up to date and current to
• support the team and other areas such as Customer Service and Enteral Intake
• Provide timely and regular feedback to staff on processes, compliance, performance, and attendance
• Provide regular reporting to Senior Management on unbilled AR, denial trends, staff performance and other KPI’s as needed
• Other duties as assigned

Physical Demands

The physical requirements outlined here are indicative of what an employee must meet to effectively carry out the essential functions of this role. While performing job duties, the employee is frequently required to communicate verbally and listen attentively. The role necessitates the ability to lift files, open filing cabinets, and bend or stand as needed. Additionally, the position occasionally requires lifting office products and supplies weighing between 20 and 30 pounds.

Benefits & Perks:

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.