Job Description

Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, compassionate people who are driven to fulfill our mission to revolutionize the way pediatric healthcare is delivered, one patient at a time.


At Aveanna, every employee plays an important role in bringing our mission to life. The ongoing growth and success of Aveanna Healthcare remain dependent on our continued ability to consistently deliver compassionate, committed care for medically fragile patients. We are looking for talented and committed individuals in search of a rewarding career with a company that values Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.

Position Overview

The Patient Access Supervisor is responsible for proactively requesting and obtaining prescriptions and authorizations from medical offices and insurance providers for a set portfolio of patients. The Supervisor is expected to respond professionally and knowledgeably in accordance with company standards, and other verbal and written training policies to patient inquiries with information regarding benefit plans (co-payments, deductibles, quantity and day supply limitations, etc.) and to other calls from clinics, insurance companies, pharmacies and physicians.


The starting pay for our Patient Access Supervisor is $55,000 per year. In addition to compensation, our full-time employees are eligbile to receive the following competitive benefit package including: Health, Dental, Vision, Life and many other options, 401(k) Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity!

Essential Job Functions

Manage the patient insurance authorization and medical documentation process required for services that are being requested by the physician responsible for the patient's care Resolve patient, medical office and insurance company questions and concerns regarding Certificate of Medical Necessity (CMN) and/or Participating Provider (PAR) Verify monthly patient eligibility for continued services Lead the Patient Access team to meet daily, monthly and quarterly metrics and goals set by management Complete special projects as assigned by the manager. Support, Train and Mentor Patient Access Specialists Create training material if needed Monthly one on one meetings with all members of the team Meet with the team weekly to discuss updates, progress and initiate team building Manage and approve timecards for employees weekly Ensure work being performed meets internal and external compliance requirements Support the Aveanna mission and culture by demonstrating our core values; compassion, team integrity, accountability, trust, innovation compliance and fun. Adhere to the Aveanna Compliance Program, including following all regulatory, Aveanna and accrediting agency policy requirements. Maintain the skills and qualifications necessary to provide or support quality care, including attendance at company-wide educational programs. Responsible for harmonious interactions with coworkers and customers, including patients, medical office staff, vendors and the general public. Upon employment, all employees are required to fully comply with Company's policies and procedures.

Requirements

Associates Degree in Healthcare, Medical Office, Management or related field; Bachelors in Healthcare Administration or related field highly preferred 3-5 years' experience in related field; healthcare, medical office, customer service 1-2 years' experience leading a team preferred Knowledge of insurance treatment authorization and/or precertification preferred Knowledge of home health, DME, or Enteral nutrition products preferred

Medical Billing/Coding Certification preferred

Proficient in Microsoft suite of products including Outlook, PowerPoint, Word and Excel Must possess a strong sense of urgency and attention to detail Proven ability to manage in a high call volume environment with accuracy and efficiency

Other Skills/Abilities

Must be able to adhere to confidentiality standards and professional boundaries at all times Quick-thinking and astute decision making skills Attention to detail Time Management Effective problem-solving and conflict resolution Excellent organization and communication skills Ability to remain calm and professional in stressful situations Strong commitment to clinical excellence Leadership skills Ability to train and supervise staff

Physical Requirements

Must be able to speak, write, read and understand English Must have visual and hearing acuity

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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.


As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.


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