Insurance Case Manager Supervisor en Palmetto Infusion

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

The Insurance Case Management Supervisor functions as an integral member of a multidisciplinary clinical team which manages the care of patients. They provide oversight of daily operations and supervise AIC Insurance Case Managers. The Supervisor ensures that current patient have updated eligibility and authorization information on file prior to each appointment. They work closely with the Clinical Staff, CSTs, PSTs, Patient Account Specialists, and the Reimbursement department in providing and promoting customer service, process flow, operational integrity, quality care and process improvement along with high service standards.

Schedule: Monday – Friday 8:00AM-5:00PM.

Minimum Qualifications: 

Experience/Education:

• Associates degree or higher and/or equivalent experience
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
• Ability to cope with ambiguous, changing environment while under pressure in a calm manner.
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

• Directly supervises daily operations of Insurance Case Management team.
• Ensures clinic schedules have been verified by staff prior to each appointment, including updated eligibility and valid authorizations are on file.
• Monitors all upcoming appointments and clinical follow ups to ensure that appropriate follow ups are completed timely.
• Explores all treatment scenarios to ensure best possible option for patient and company.
• Reviews and helps disseminate medical policy for various payors and therapies
• Provides on-going, clear, measurable performance expectations and feedback for staff. Guides and counsels staff consistently.
• Holds staff accountable for responsibility inherent in their position.
• Serves in a staff development/mentor role to the Insurance Case Managers.
• Participates in the orientation of new Insurance Case Managers.
• Identifies employee strengths, developmental needs, skills, interests, and values to relate to organization needs.
• Provides and documents on-going communication with payor case managers for updates, changes and authorizations.
• Takes initiative to present ideas and suggestions to leadership.
• Demonstrates ability to maintain calm under pressure and cope with changing environment.
• Participates in Performance Improvement processes.
• Performs other duties and projects as assigned.
• Monitors and ensures compliance with Company policies and State and Federal rules and regulations.

About the Benefits:

• Competitive Compensation
• Comprehensive Medical Insurance
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey SmartDollar Program
• Referral Program
• Tuition Assistance
• Paid Time Of
• 8 Paid Company Holidays

Patient Advocacy Statement:

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive. 

Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.