Patient Engagement Manager – Remote

Job Description

Job Title: Patient Engagement Manager

Reports To: VP of Patient Engagement Location: Remote

Travel Required: 25%

Supervisory Responsibility: Yes

Position Summary

The Patient Engagement Manager is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of Vice-President (s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Summary Of Duties And Responsibilities

• Manages IT therapy (SKIT and SLIT) conversion processes and leads the team of Patient Conversion Advocates
• Communicates with patients when escalated for service recovery or any other customer service need
• Manages key performance indicators of patient IT therapy conversion rates along with other assigned metrics.
• Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states.
• Research and investigate denied or no response claims to confirm the reason for denial and best recovery method.
• Reviews payer policies and guidelines to support reconsiderations and appeals if needed.
• Identifies trends and notifies Vice-President(s) immediately to establish a plan of action.
• Submits corrected claims, reconsiderations, and appeals via the portal, fax, or secure email using mail as a last resort.
• Thorough documentation and research done, and action taken on each claim in IMS
• Follows SOPs
• Proficient in Excel
• Proficient in Availity Essentials
• Communicates with other departments via shared spreadsheets and conducts regular follow-ups on cross-communication.

Education, Prior Work Experience, Special Skill And Knowledge Requirements

• High School Diploma
• 2+ years leadership experience preferred
• Minimum 2 years of recent AR experience in a healthcare setting preferred
• Proficient with Microsoft applications
• EMR experience – 2 years
• Proficient in denial management
• Experience working with Commercial, Medicare, and Medicaid plans.
• Experience working in fast-paced, high-volume, multi-provider practice.
• Understanding of the Revenue Cycle, including admission, billing, payments, and denials.
• Must be at least 18 years of age
• A fully remote schedule may require some in-office training

Physical Demands and Work Environment

Physical Demands

An employee must meet the physical demands described here to perform the essential functions of this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the physical demands. The employer retains the right to change or assign other duties to this position.

While performing the duties of this job, the employee is regularly required to prepare, inspect, place, detect or operate productivity machinery, such as a calculator, copy machine, computer, scanned faxes, and computer printer

The employee is frequently required to remain stationary, move, ascend/descend.

Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Specific communication abilities required by this job include the ability to communicate and detect, converse with others, discern, convey, express oneself, and exchange information.

Work Environment

The work environment characteristics described here represent those an employee may encounter while performing the essential functions of this job. Remote employees are not applicable to this environment.

The noise level in the work environment is usually moderate; lighting is in the standard range.

The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases, and conditions.

This role operates primarily in an office environment but may require occasional travel for conferences, meetings, or client interactions.

EEO Compliance

Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color,

religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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