The Reimbursement Specialist Supervisor oversees daily operations, including prior authorizations and insurance follow-ups for high-cost medications. This role provides direct supervision, coaching, and performance management to the team while ensuring compliance and workflow efficiency.
The Ambulatory Access Manager provides strategic and operational leadership for specialty departments, focusing on scheduling improvements and Epic-enabled workflow optimization. This role supervises staff, monitors performance metrics, and collaborates with clinical leadership to ensure standardized and efficient patient access.
The manager will oversee operational and communication strategies for Ambulatory Services, including the design and deployment of patient appointment reminders and care gap closure initiatives. They will lead an analyst team and collaborate with senior leadership to optimize patient access and service delivery.
The specialist serves as an operational expert partnering with departments to optimize scheduling workflows, visit types, and Epic tools. They ensure consistent implementation of access standards and monitor key performance indicators to drive improvements in scheduling efficiency.
The representative manages the end-to-end financial clearance process, including insurance verification, authorization procurement, and patient liability calculation. They ensure clear communication of financial responsibilities to patients while streamlining revenue cycle operations.
The Reimbursement Specialist manages revenue collection for high-cost medications by processing prior authorizations and coordinating patient assistance programs. This role also collaborates with healthcare providers to obtain necessary documentation and performs pharmacy technician duties as required.
