INTRODUCTION |
Company Overview: BioMatrix is a nationwide independently-owned infusion pharmacy with decades of experience supporting patients on specialty medications. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey staying focused on optimal clinical outcomes.
At BioMatrix the heart of our Inclusion Diversity Equity & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyones contributions are acknowledged and celebrated. Our goal is to draw in develop engage and retain talented high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients employees and partners.
Schedule: It is anticipated that an incumbent in this role will work Monday through Friday between 8:30am and 5pm Central Standard Time. Schedule subject to occasional change based on business needs.
Location: It is anticipated that an incumbent in this role will work on-site at our location in Overland Park KS. Work location subject to change based on business needs.
Job Description: The Patient Access Liaison is responsible for ensuring the intake/prior authorization processes and workflows are performed optimally and effectively. Work with manager to meet the needs of the department to secure contracts authorizations and maximize reimbursement coverage. |
QUALIFICATION REQUIREMENTS |
- HighSchoolDiplomaorGED required
- Minimum of two (2)years ofcarecoordinationorpatientservicesexperience to include medical insurance experience required
- Basiccomputerandinternetskills()
- Abilitytoobtainreimbursementandpriorauthorizationsforpatientsfamilymemberscaregivers nurses physicians and health plan representatives and/or administrators.
- Commitmenttoexcellentcustomerserviceandprofessionalismtoresolvecomplexpayer coverage issues
|
QUALIFICATIONS PREFERRED |
- CertifiedPharmacyTechnician/Licensepreferred
- Prior home infusion experience preferred
- Prior patient financial assistance experience preferred
- Prior CareTend experience preferred
|
ESSENTIALFUNCTIONSAND RESPONSIBILITIES |
- Maintainsday-to-daypatientauthorizationandreimbursementactivitiesworkloadandoverall workflow
- HIPAA Privacy Rule standards.
- Receivespatientreferralsandworksonthepatientsbehalftoidentifyandassessreimbursement coverage options for those with insurance and to coordinate and/or investigate financial options for those without insurance.
- Obtainsandmonitorsprior authorizationprocesstoensureoptimalandeffectiveworkflow.
- Reportsdenialsornon-eligiblepatientstothecontractsdepartmenttoidentifyandsecure contractual opportunities.
- Workswithphysicianofficesandthepharmacydepartmenttofacilitatetheprocessofobtaining prior authorization from third party payers in order to maximize patients access to treatment.
- CommunicateseffectivelywithsalesteamandRegionalCareCoordinators.
- Monitorsandverifiesbenefitsrecordsallinsurancere-authorizationsrequiredbypayerstohelp ensure compliance and continuity of treatment monthly.
- Contributestoeffectiveoperationofthepharmacydepartment.
- Collaborateswiththebillingteamtomaintaindatabaseforrecordingmanagingandmonitoring patient insurance activities.
- ScreensincomingordersnotifiespharmacyofinsuranceeligibilityissuesandSTATordersto make same-day deliveries when requested.
|
- ParticipationinQMCQuarterlyMeetingsasneeded.
- ParticipatesinorientationeducationtrainingprogramsCEsliteraturereviewsandother materials as assigned.
- Completesallcompetence/skillsbillingassessmentsasrequired.
- Providescourteouscooperativeandtimelyservicetopatientsvisitorsandstaff.
- Participatesinqualityassuranceactivitiesandauditsasdirected.
|
KNOWLEDEGESKILLSANDABILITIES REQUIREMENTS |
- Abilitytomaintaincompetenceforcurrentposition.
- Abilitytomaintainaccuraterecordsandpreparereportsandcorrespondencerelatedtothework.
- Abilitytoperformworkwithinspecifiedtimeframesandadaptpositivelytofrequent interruptions and changes in workload and/or work schedule.
- Strongcustomerserviceskillsfocusanddedication.
- Excellentinterpersonalandorganizationalskills.
- Abilitytosetprioritiesandsolveproblems.
- Excellentverbalwrittenandcommunicationskills.
- Abilitytorespondquicklytoemergencyrequests.
- Self-motivatedself-reliantandteamoriented.
Communication Skills - Oral Communication - Speaks clearly and persuasively in positive or negative situations; listensandgetsclarification;respondswelltoquestions;demonstratesgrouppresentation skills; participates in meetings.
- Written Communication - Writes clearly and informatively; edits work for spelling and grammar;varieswritingstyletomeetneeds;presentsnumericaldataeffectively;ableto read and interpret written information.
Computer Skills - Becomeandremainproficientinallprogramsnecessaryforexecutionoftheposition.
|
PHYSICALDEMANDSANDWORK ENVIRONMENT |
- Thispositionrequiresconstantsittingwithoccasionalwalkingstandingkneelingorstooping.
- Thispositionrequirestheuseofhandstofingerhandleorfeelobjectsandtheabilityto reach with hands and arms.
- Thispositionrequiresconstanttalkingandhearing.
- Specificvisionabilitiesrequiredbythisjobincludeclosevisionandtheabilitytoadjustfocus.
- Thispositionmustoccasionallyliftand/ormoveupto20pounds
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.If needing a reasonable accommodation within the application process please contact the BioMatrix People & Culture team ator 954.385.7322 x 1425.
Whileperformingthedutiesofthisjobtheemployeeisoccasionallyrequiredtostand;walk;sit;use hands to finger handle or feel objects tools or controls; reach with hands and arms; climb stairs; balance;stoopkneelcrouchorcrawl;talkorhear; |
liftand/ distance vision color vision peripheral vision depth perception and the ability to adjust focus. |
OTHER |
- Willparticipateinlegalandethicalcompliancetrainingeachyear.
- WillconsistentlybehaveincompliancewiththeBioMatrixLLCslegalandethicalpoliciesand procedures.
- WillabidebythepoliciesofBioMatrixLLCassetforthintheComplianceManual.
- Willnotparticipateinanyconductconsideredtobeunethicalorillegal.
EXPECTATIONFORALL EMPLOYEES Supports the organizations mission vision and values by exhibiting the following behaviors: integrity dedication compassion enrichment and enthusiasm places patients first is all-in with stacked-hands and is focused on relentless consistency wins.
GENERAL INFORMATION:
Theabovestatementsareintendedtodescribethegeneralnatureandlevelofworkbeingperformed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties responsibilities and skills required of personnel so classified.
Theincumbentmustbeabletoworkinafast-pacedenvironmentwithdemonstratedabilitytojuggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Incumbents within this position may be required to assist or find appropriate assistance to make accommodationsfordisabledindividualsinordertoensureaccesstotheorganizationsservices(may include: visitors patients employees or others).
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran. |
INTRODUCTIONCompany Overview:BioMatrix is a nationwide independently-owned infusion pharmacy with decades of experience supporting patients on specialty medications. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family an...
INTRODUCTION |
Company Overview: BioMatrix is a nationwide independently-owned infusion pharmacy with decades of experience supporting patients on specialty medications. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey staying focused on optimal clinical outcomes.
At BioMatrix the heart of our Inclusion Diversity Equity & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyones contributions are acknowledged and celebrated. Our goal is to draw in develop engage and retain talented high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients employees and partners.
Schedule: It is anticipated that an incumbent in this role will work Monday through Friday between 8:30am and 5pm Central Standard Time. Schedule subject to occasional change based on business needs.
Location: It is anticipated that an incumbent in this role will work on-site at our location in Overland Park KS. Work location subject to change based on business needs.
Job Description: The Patient Access Liaison is responsible for ensuring the intake/prior authorization processes and workflows are performed optimally and effectively. Work with manager to meet the needs of the department to secure contracts authorizations and maximize reimbursement coverage. |
QUALIFICATION REQUIREMENTS |
- HighSchoolDiplomaorGED required
- Minimum of two (2)years ofcarecoordinationorpatientservicesexperience to include medical insurance experience required
- Basiccomputerandinternetskills()
- Abilitytoobtainreimbursementandpriorauthorizationsforpatientsfamilymemberscaregivers nurses physicians and health plan representatives and/or administrators.
- Commitmenttoexcellentcustomerserviceandprofessionalismtoresolvecomplexpayer coverage issues
|
QUALIFICATIONS PREFERRED |
- CertifiedPharmacyTechnician/Licensepreferred
- Prior home infusion experience preferred
- Prior patient financial assistance experience preferred
- Prior CareTend experience preferred
|
ESSENTIALFUNCTIONSAND RESPONSIBILITIES |
- Maintainsday-to-daypatientauthorizationandreimbursementactivitiesworkloadandoverall workflow
- HIPAA Privacy Rule standards.
- Receivespatientreferralsandworksonthepatientsbehalftoidentifyandassessreimbursement coverage options for those with insurance and to coordinate and/or investigate financial options for those without insurance.
- Obtainsandmonitorsprior authorizationprocesstoensureoptimalandeffectiveworkflow.
- Reportsdenialsornon-eligiblepatientstothecontractsdepartmenttoidentifyandsecure contractual opportunities.
- Workswithphysicianofficesandthepharmacydepartmenttofacilitatetheprocessofobtaining prior authorization from third party payers in order to maximize patients access to treatment.
- CommunicateseffectivelywithsalesteamandRegionalCareCoordinators.
- Monitorsandverifiesbenefitsrecordsallinsurancere-authorizationsrequiredbypayerstohelp ensure compliance and continuity of treatment monthly.
- Contributestoeffectiveoperationofthepharmacydepartment.
- Collaborateswiththebillingteamtomaintaindatabaseforrecordingmanagingandmonitoring patient insurance activities.
- ScreensincomingordersnotifiespharmacyofinsuranceeligibilityissuesandSTATordersto make same-day deliveries when requested.
|
- ParticipationinQMCQuarterlyMeetingsasneeded.
- ParticipatesinorientationeducationtrainingprogramsCEsliteraturereviewsandother materials as assigned.
- Completesallcompetence/skillsbillingassessmentsasrequired.
- Providescourteouscooperativeandtimelyservicetopatientsvisitorsandstaff.
- Participatesinqualityassuranceactivitiesandauditsasdirected.
|
KNOWLEDEGESKILLSANDABILITIES REQUIREMENTS |
- Abilitytomaintaincompetenceforcurrentposition.
- Abilitytomaintainaccuraterecordsandpreparereportsandcorrespondencerelatedtothework.
- Abilitytoperformworkwithinspecifiedtimeframesandadaptpositivelytofrequent interruptions and changes in workload and/or work schedule.
- Strongcustomerserviceskillsfocusanddedication.
- Excellentinterpersonalandorganizationalskills.
- Abilitytosetprioritiesandsolveproblems.
- Excellentverbalwrittenandcommunicationskills.
- Abilitytorespondquicklytoemergencyrequests.
- Self-motivatedself-reliantandteamoriented.
Communication Skills - Oral Communication - Speaks clearly and persuasively in positive or negative situations; listensandgetsclarification;respondswelltoquestions;demonstratesgrouppresentation skills; participates in meetings.
- Written Communication - Writes clearly and informatively; edits work for spelling and grammar;varieswritingstyletomeetneeds;presentsnumericaldataeffectively;ableto read and interpret written information.
Computer Skills - Becomeandremainproficientinallprogramsnecessaryforexecutionoftheposition.
|
PHYSICALDEMANDSANDWORK ENVIRONMENT |
- Thispositionrequiresconstantsittingwithoccasionalwalkingstandingkneelingorstooping.
- Thispositionrequirestheuseofhandstofingerhandleorfeelobjectsandtheabilityto reach with hands and arms.
- Thispositionrequiresconstanttalkingandhearing.
- Specificvisionabilitiesrequiredbythisjobincludeclosevisionandtheabilitytoadjustfocus.
- Thispositionmustoccasionallyliftand/ormoveupto20pounds
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.If needing a reasonable accommodation within the application process please contact the BioMatrix People & Culture team ator 954.385.7322 x 1425.
Whileperformingthedutiesofthisjobtheemployeeisoccasionallyrequiredtostand;walk;sit;use hands to finger handle or feel objects tools or controls; reach with hands and arms; climb stairs; balance;stoopkneelcrouchorcrawl;talkorhear; |
liftand/ distance vision color vision peripheral vision depth perception and the ability to adjust focus. |
OTHER |
- Willparticipateinlegalandethicalcompliancetrainingeachyear.
- WillconsistentlybehaveincompliancewiththeBioMatrixLLCslegalandethicalpoliciesand procedures.
- WillabidebythepoliciesofBioMatrixLLCassetforthintheComplianceManual.
- Willnotparticipateinanyconductconsideredtobeunethicalorillegal.
EXPECTATIONFORALL EMPLOYEES Supports the organizations mission vision and values by exhibiting the following behaviors: integrity dedication compassion enrichment and enthusiasm places patients first is all-in with stacked-hands and is focused on relentless consistency wins.
GENERAL INFORMATION:
Theabovestatementsareintendedtodescribethegeneralnatureandlevelofworkbeingperformed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties responsibilities and skills required of personnel so classified.
Theincumbentmustbeabletoworkinafast-pacedenvironmentwithdemonstratedabilitytojuggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Incumbents within this position may be required to assist or find appropriate assistance to make accommodationsfordisabledindividualsinordertoensureaccesstotheorganizationsservices(may include: visitors patients employees or others).
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran. |
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Job Location:
Hourly Salary:
$ 23 - 29
Posted on:
2 days ago
Vacancies:
1 Vacancy
