About the Role
Job Description
Integral oversight of the PAL (Patient Advocate Liaison) teams’ referral flow, including insurance verification, patient communication, upfront collection of patient copays, documentation, and collaboration with the nursing and pharmacy teams for the successful onboarding of home infusion patients.
Communicating with Hospital Case Managers via Referral Portals such as, Navi Health, and Allscripts.
Coordinating with (field) Clinical Liaisons and Territory Managers to effectively and timely discharge patients.
Develop new processes and procedures to efficiently streamline the referral process.
Establish positive relationships with referral sources and build rapport with internal and external customers.
May assist walk-in patients with the selection of equipment, supplies, and services
Understand and interpret Medicare guidelines and qualifying documentation
Thoroughly understand payer and utilization guidelines for all states
Communicate with patients, patient’s family members and or the patients’ caregivers to keep them informed, guide them through the process and ensure their needs are addressed.
Oversight to ensure that all patient documentation meets the necessary guidelines and is up to date and accurate for all departments during the start of care process.
QC documentation from PALs to ensure it meets all guidelines for a successful start of care.
Define and provide reports on PAL team metrics to leadership.
Ensure all processes meet or exceed metrics set by the Performance Improvement committee and develop/ implement a plan of action for any deficiencies.
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implements ‘’best practices".
Recruit, train, coach, and guide PAL team members.
Responsible for the performance evaluation of each member of the PAL team annually.
Establish annual performance goals that ensure company goals, and monitor progress toward these goals.
Review and approve payroll for department staff.
Manages PAL teams’ schedule and staffing levels. Participates in scheduling rotation.
Participate in the Performance Improvement committee.
Responsible to meet financial performance requirements set forth in the annual budget.
Responsible for driving company culture through coaching, resource balancing and positive reinforcement.
Job Requirements
Highschool diploma or equivalent
Clear background and OIG reports
Must be able to communicate clearly and professionally, both written and verbally.
Independently problem-solve through challenges and proposes solutions when seeking guidance.
Excellent customer service skills and has a service mindset.
Working knowledge of MS Office applications (Outlook, Microsoft Word, Excel, and PowerPoint), and Teams.
The ideal candidate will have a minimum of 1-2 years' home health or infusion customer service.
Job Type: Full-time
Pay: $55,000.00 - $65,000.00 per year
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Education:
High school or equivalent (Required)
Experience:
IV infusion or Home Healthcare: 1 year (Required)
Management: 1 year (Required)
Language:
Spanish (Preferred)
Ability to Commute:
Tempe, AZ 85281 (Required)
Work Location: In person
Requirements
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Integral oversight of the PAL (Patient Advocate Liaison) teams’ referral flow, including insurance verification, patient communication, upfront collection of patient copays, documentation, and collaboration with the nursing and pharmacy teams for the successful onboarding of home infusion patients.
Communicating with Hospital Case Managers via Referral Portals such as, Navi Health, and Allscripts.
Coordinating with (field) Clinical Liaisons and Territory Managers to effectively and timely discharge patients.
Develop new processes and procedures to efficiently streamline the referral process.
Establish positive relationships with referral sources and build rapport with internal and external customers.
May assist walk-in patients with the selection of equipment, supplies, and services
Understand and interpret Medicare guidelines and qualifying documentation
Thoroughly understand payer and utilization guidelines for all states
Communicate with patients, patient’s family members and or the patients’ caregivers to keep them informed, guide them through the process and ensure their needs are addressed.
Oversight to ensure that all patient documentation meets the necessary guidelines and is up to date and accurate for all departments during the start of care process.
QC documentation from PALs to ensure it meets all guidelines for a successful start of care.
Define and provide reports on PAL team metrics to leadership.
Ensure all processes meet or exceed metrics set by the Performance Improvement committee and develop/ implement a plan of action for any deficiencies.
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implements ‘’best practices".
Recruit, train, coach, and guide PAL team members.
Responsible for the performance evaluation of each member of the PAL team annually.
Establish annual performance goals that ensure company goals, and monitor progress toward these goals.
Review and approve payroll for department staff.
Manages PAL teams’ schedule and staffing levels. Participates in scheduling rotation.
Participate in the Performance Improvement committee.
Responsible to meet financial performance requirements set forth in the annual budget.
Responsible for driving company culture through coaching, resource balancing and positive reinforcement.
Job Requirements
Highschool diploma or equivalent
Clear background and OIG reports
Must be able to communicate clearly and professionally, both written and verbally.
Independently problem-solve through challenges and proposes solutions when seeking guidance.
Excellent customer service skills and has a service mindset.
Working knowledge of MS Office applications (Outlook, Microsoft Word, Excel, and PowerPoint), and Teams.
The ideal candidate will have a minimum of 1-2 years' home health or infusion customer service.
Job Type: Full-time
Pay: $55,000.00 - $65,000.00 per year
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Education:
High school or equivalent (Required)
Experience:
IV infusion or Home Healthcare: 1 year (Required)
Management: 1 year (Required)
Language:
Spanish (Preferred)
Ability to Commute:
Tempe, AZ 85281 (Required)
Work Location: In person
About the Company
Sisu Healthcare Solutions is a privately held infusion therapy company that is dedicated to providing excellent clinical service to our patients, physicians and managed care customers. We provide comprehensive infusion therapy services that include the provision of nutritional, antibiotics, and specialty drugs administered intravenously, including all medically appropriate and necessary supplies. We provide these services and products to patients in the home setting or in our outpatient ambulatory infusion suites.