Lead Specialist, Patient Access - Specialty Operations - Pacific Time

Option Care; Sacramento (CA); On-site; USD 34,000 - 56,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401K with Company Match

HSA Company Match

Flexible Spending Accounts

Tuition Reimbursement

Paid Time Off

Family Support

Mental Health Services

Company Paid Life Insurance

Job summary

Option Care Health is seeking a Lead Specialist, Patient Access - Specialty Operations to streamline new patient transitions to our home infusion services and ensure a consistent onboarding experience for patients and referral partners. The role includes coordinating discharge, securing required documentation, and guiding team members.

The ideal candidate will coordinate with sales, pharmacy, and nursing, mentor new hires, and resolve complex referrals under the supervision of leadership.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of experience using medical patient registration or reimbursement software (Brightree, CPR+, Dezine, Day Tech) and/or equivalent experience.
• Associates Degree preferred.

Responsibilities

• Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Creates, communicates and obtains all required documentation for new referrals.
• Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
• Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).
• Provides training and mentoring for new hires.
• Assists Supervisor and Manager to troubleshoot and resolve complex issues.
• Assists Supervisor and Manager with special assignments as needed.
• Identifies and communicate opportunities for improvement in process and recommend resolutions.

Skills

Multitasking

Fast-paced

Detail-oriented

Customer service

Problem solving

Cross-functional collaboration

Education

High school diploma or equivalent

Associate degree

Tools

Brightree

CPR+

Dezine

Day Tech

Job description

Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary

The Lead Specialist, Patient Access - Specialty Operations is responsible for facilitating new patient’s transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care.

The Lead Specialist, Patient Access - Specialty Operations facilitates all aspects of the patient’s transition to home/AIS and acts as a team lead by assisting the Supervisor or Manager in training team members, resolving complex referrals and leading special assignments.

Scheduled work hours are 8:30a-5p Pacific Time, Monday thru Friday.

Job Responsibilities

• Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Creates, communicates and obtains all required documentation for new referrals.
• Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
• Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).
• Provides training and mentoring for new hires.
• Assists Supervisor and Manager to troubleshoot and resolve complex issues.
• Assists Supervisor and Manager with special assignments as needed.
• Identifies and communicate opportunities for improvement in process and recommend resolutions.

Supervisory Responsibilities

Does this position have supervisory responsibilities? No

Basic Education and/or Experience Requirements

High school diploma or equivalent is required. Minimum of 2 years of experience using medical patient registration or reimbursement software (such as Brightree, CPR+, Dezine, Day Tech) and/or equivalent experience.

Basic Qualifications

• Ability to multi-task and support numerous referrals/priorities at one time.
• Ability to work in a fast past environment.
• Must be detail-oriented and have a high degree of quality focus.
• High degree of customer service skills required.
• Ability to trouble shoot, problem solves and collaborate with cross-functional team members across sales and operation functions.

Preferred Qualifications & Interests (PQIs)

• Previous healthcare/medical billing experience preferred.
• Associates Degrees May perform other duties as assigned.

Salary

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $24.80-$41.31

Benefits

• -Medical, Dental, & Vision Insurance
• -Paid Time off
• -Bonding Time Off
• -401K Retirement Savings Plan with Company Match
• -HSA Company Match
• -Flexible Spending Accounts
• -Tuition Reimbursement
• -myFlexPay
• -Family Support
• -Mental Health Services
• -Company Paid Life Insurance
• -Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.