Patient Access Manager

Work set-up: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Minimum of 3 years management or team leadership experience in patient onboarding or revenue cycle management., Experience with infusion revenue cycle management, including benefit verification and prior authorization., Strong knowledge of payor coverage policies, health plan benefit design, and revenue cycle best practices., Excellent leadership, communication, and problem-solving skills, with familiarity with EMR/EHR and RCM systems being a plus..

Key responsibilities:

  • Oversee benefit verification, exploration, and prior authorization activities for patients.
  • Manage patient assistance programs to ensure access to care.
  • Lead and evaluate the performance of internal and external revenue cycle teams.
  • Support patient care initiation and improve patient experience through timely and effective communication.

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Nira Medical Group
51 - 200 Employees
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Job description

Overview

Nira Medical is a national partnership of physicianled, patientcentered independent practices committed to driving the future of neurological care. Niras mission is to enable clinicians to provide access to lifechanging treatments so you can provide the best possible patient outcomes. Founded by neurologists who understand the unique challenges of the field, Nira Medical supports practices with cuttingedge technology, clinical research opportunities, and a collaborative and comprehensive care network dedicated to advancing the standard of care. As we enter the next phase of growth, our focus is on scaling our teams, services, and elevating the customer experience!

This is where you come in…

Patient Access Manager, Front End

The Patient Access Manager will serve as a key operational leader for the timely and quality onboarding of practice and neurology services patients. This role is responsible for performance and oversight of new and existing patient benefit verification, benefit exploration, prior authorization, and patient assistance activities across a variety of physician and ancillary services. This individual will work closely with regional partners, practice leaders, vendors, and the centralized RCM team to drive operational consistency, optimize workflows, and support change management efforts. The ideal candidate is a strategic thinker with handson execution skills, significant attention to detail, and capable of leading teams to provide outstanding services to patients in need.

Here’s what you’ll be doing…

  • Benefit Verification, Exploration, and Prior Authorization Oversight: Oversee performance of benefit verification, benefit exploration, and prior authorization activities for patients receiving a varied array of physician office and ancillary services in partnership with clinic operations and billingcollection teams.

  • Patient Assistance Program Management: Oversee patient assistance program activities including assessment of eligible patients, utilization of appropriate programs, and promotion of appropriate access to care for a variety of physician office and ancillary services.

  • Team Oversight & Performance Management: Lead daytoday operations of the RCM internalexternal teams, ensuring accountability, productivity, and quality standards.

  • Promoting Excellent Patient Experiences: Support timely initiation of care, prompt customer service including response to patient inquiries, and proactive support to practices for anticipated barriers to patient care.

  • Change Management & Communication: Communicate key transition updates, performance metrics, and operational insights to leadership and stakeholders. Provide training and guidance to internalexternal teams and new hires as part of the transition process.

    • Here’s what we’re looking for…

      • 3+ years of relevant management or team leader experience in patient onboardingintake or revenue cycle management; physician office or physicianadministered drug experience highly preferred.

      • Experience with infusion revenue cycle management is strongly preferred, including benefit verification and prior authorization processes related to specialty infusions or physicianadministered therapies.

      • Experience leading benefit verification, prior authorization, patient assistance, or other related patient onboardingintake functions.

      • Strong knowledge of revenue cycle best practices, payor coverage policies, and health plan benefit design.

      • Ability to analyze patient intake processes and communicate strategies to provide best patient care and experience.

      • Strong leadership, communication, and team management abilities.

      • Excellent problemsolving skills and ability to navigate complex transitions.

      • Proactive, adaptable, and able to work in fastpaced, evolving environments.

      • Familiarity with EMREHR & RCM systems (Centricity, Athena, or similar platforms) is a plus.

      • Prior experience with change management or operational leadership is a plus.

      • Experience with EDI enrollments, contract interpretation, and revenue cycle reporting is a plus.

        • Don’t feel like you have all the qualifications?

          The description above indicates our current vision for the role. You could be a viable candidate even if you don’t fit everything we’ve described above and may also have important skills we haven’t thought of. If that’s you – even if you’re unsure – we encourage you to apply and help us get to know you!

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
  • Team Management
  • Problem Solving
  • Adaptability
  • Leadership

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