Access Manager / Remote

BrightSpring Health Services • Newark, NJ • 8h ago

Our Company

Amerita

Overview

The Access Manager monitors all activities and information related to the processing of new referrals and ongoing coordination of patient customer service. This position completes all personnel related tasks for Intake employees and works closely with all branch personnel, referral sources and Revenue Cycle Management department personnel.

Shift: Monday-Friday 8:00am-5:00pm (EST)

Responsibilities

Leads and manage one of the regional teams responsible for benefit investigation, prior authorization and intake coordination

Ensures that all intake forms are complete, clear and within Amerita's scope of service

Understands which insurance companies Amerita has active contracts with

Ensures intake personnel are properly performing all functions related to verifying insurance, obtaining authorizations and re-authorizations, registering patients, communicating with other departments regarding referrals, participating in patient care coordination and communicating with patients regarding coverage and financial obligations

Ensures that processes are followed to ensure insurance verification is completed and authorization is in place prior to giving the referral to the branch

Responsible for keeping staff current with payer requirements and Amerita policy and procedures related to the intake process, CPR+ functions and managing unbilled revenue

Understands and adheres to all applicable company policies and state and federal regulations and ensures Intake staff adherence

Identifies inefficient processes and monitors workload of staff, making recommendations

Serves as a subject matter expert in local and regional payor requirements, ensuring team alignment with policy changes and payer nuances

Acts as an escalation point for complex or high impact patients requiring advanced payer knowledge or cross-functional coordination

Responsible for ensuring applicable ready to bill holds are resolved timely and performs a root cause analysis on holds when necessary

Participates in and coordinates training for all new intake staff

Supervisory Responsibility: Yes

Qualifications

High School Diploma/GED or equivalent required; Associate's degree or some college preferred

A minimum of 3 years experience collection referral information in the healthcare market (to include 2 years of supervisory experience)

Experience working with all payer @types to include Medicare, Medicaid and commercial insurance companies

Home infusion experience a plus

Knowledge of insurance verification and pre-certification procedures

Solid Microsoft Office Suite skills

Strong verbal and written communication skills

Ability to independently obtain and interpret information

Knowledge of CPR+ software a plus

Working knowledge of medical terminology

Percentage of Travel: 0-25%

To perform this role will require frequently sitting, standing, walking, and typing on a keyboard with fingers, and occassionally bending, reaching climbing (stairs/ladders). The physical requirements will be the ability to push/pull 1-10lbs and lift/carry 21-30 lbs

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visitwww.ameritaiv.com. Follow us onFacebook (https://www.facebook.com/ameritaiv) ,LinkedIn (https://www.linkedin.com/company/amerita-inc) , andX (https://x.com/ameritainfusion) .

Salary Range

USD $70,000.00 - $98,000.00 / Year

BrightSpring Health Services, and our family of brands, provides equal employment opportunity

Job LocationsUS-NJ-NEWARK

ID 2026-187305

Line of Business Amerita

Position Type Full-Time

Pay Min USD $70,000.00/Yr.

Pay Max USD $98,000.00/Yr.

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