Now Hiring - Clinical Support Liaison in Brentwood, TN

With the footprint of IVX Health continuing to expand, we are seeking a Clinical Support Liaison to support our continued growth nationwide! This is a fully remote position that requires minimal travel.

ABOUT US
IVX Health is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other complex chronic conditions. IVX offers a different, better approach to caring for our patients and believes it is vital to take the same approach with our employees. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.

ABOUT THE ROLE
The Clinical Support Liaison is responsible for day-to-day support of both internal and external stakeholders in order to provide world-class customer service in our efforts to quickly and effectively treat as many patients as possible.

RESPONSIBILITIES

• Act as a liaison between providers and operations and revenue cycle to ensure excellent delivery of services with appropriate prior authorization and continued provider referrals
• Develop positive working relationship with referring providers
• Initiate and engage in discussions with referring providers to resolve outstanding prior authorization or process-specific issues at the referral / patient level
• Leverage clinical expertise to respond to and resolve clinical inquiries from referring providers and internal sales / operations colleagues
• Assist in coordinating intake and prior authorization tasks
• Assist in eliminating barriers regarding insurance requirements and medical policy, medical records, drug label, and prior authorization requirements
• Assist in clinical appeals and / or payor peer-to-peer calls for denials received for medical necessity pre, or post bill as needed
• Clearly document all case specific communication and activity in appropriate systems
• Regionally assigned to accounts, but as required covers multiple customers’ needs in other IVX Operating regions as required
• Partners effectively with other internal departments, specifically: Prior Authorization, Pre-Registration, Business Development, Field Operations

BENEFITS + PERKS

• Flexible work schedule that promotes a positive work-life balance
• 401(k) program with company-match
• Comprehensive Health, Dental, and Vision Insurance plans
• Womens Health and Fertility Benefit
• Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
• Voluntary Short-Term and Long-Term Disability Insurance
• Company-Paid Life/AD&D Insurance
• Tuition Reimbursement Program
• CEU Library
• Charitable Giving Match and Volunteer PTO Program
• Employee Referral Bonus Program

ESSENTIAL COMPETENCIES

• Well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination
• Knowledge of intermediate-to-advanced medical terminology
• Familiarity of EMR/EHR portal tools (Epic CareLink)
• Demonstrate a commitment to improving the quality and consistency of patient care
• Highly effective interpersonal skills, self-confidence,
• Stress resistant – has the ability to remain calm in stressful situations
• Excellent organizational, consultative, analytical, and problem-solving skills
• Self-disciplined, with the ability to work independently and effectively prioritize workload
• Ability to multitask and adapt to fast-paced work environment
• Takes initiative and capitalizes on all opportunities to improve department efficiency and effectiveness
• Exceptional active listening skills
• Strong communication skills, both written and verbal, with the ability to adjust and adapt communication style and approach to match the audience and collaborate effectively with all levels of an organization
• Proficiency with standard office software applications (Microsoft Outlook, Office, Teams) and medical software such as EMRs, practice management, and patient / provider communication platforms

MINIMUM REQUIRED EXPERIENCE

• 3 - 5 years of clinical experience in an acute setting, case management, utilization management or payor setting. InterQual and/or MCG experience
• Payor portal experience (Availity, GHP Medicaid, Navinet, UHC)
• Experience in Ambulatory Infusion space with payor or provider entities preferred

MINIMUM REQUIRED EDUCATION

• Associate Degree required
• Bachelor’s Degree in related field strongly preferred, specifically Bachelor’s of Science in Nursing
• Maintain current RN / LPN licensure

EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.