Patient Conversion Advocate

Description

Job Description

Job Title: Patient Conversion Advocate FLSA/Status

Reports To: VP of Patient Engagement Location: Multiple/Remote

Department: Patient Engagement Travel Required: No

Supervisory Responsibility: No

Position Summary:

The Patient Conversion Advocate is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of Vice President; 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:

• Engages with patients recommended for IT therapy (SCIT OR SLIT) to convert them to adherence of treatment recommendations.
• Schedules patient to begin IT Therapy.
• Sets up payment plans for IT therapy as necessary during IT Therapy conversion process.
• Patient follow-up when applicable to ensure patient is scheduled or declines.
• Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states.
• Identifies trends and notifies leads and managers immediately to establish a plan of action.
• Follows SOPs
• Proficient in Excel
• Proficient in Availity Essentials
• Communicates with other departments via shared spreadsheets and conducts regular follow-ups on cross-communication.
• Able to speak professionally to patients regarding next steps to convert patient care to a plan with FAA

Education, Prior Work Experience, Special Skill and Knowledge Requirements:

• High School Diploma
• 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
• Some onsite training required may be necessary

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.

Job Description Acknowledgement:

I have received a copy of my job description and state that I have read or have been provided accommodations to comprehend and fully understand the requirements of this description and agree to abide by its requirements and will perform all duties and responsibilities to the best of my ability.

I understand this description is intended to be a general statement concerning this position and is not to be considered a detailed assignment. Other duties may be assigned, and they may be modified by my employer as the need arises.

I certify that, at this time, I know of no limitations which would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these activities.

I further certify that this job description was orally reviewed with me, and I have been given the opportunity to ask questions of my employer concerning these matters, and this job description will be a basis for evaluating my performance.