Downing Capital Group

• Serve as the primary point of contact for internal and external stakeholders, fostering strong relationships to facilitate collaboration and information sharing. • Prepare and present reports, briefings, and recommendations to senior leadership, ensuring that complex information is communicated clearly and concisely. • Lead the execution of key initiatives and projects, providing direction and oversight to ensure they are delivered on time and within budget. • Facilitate strategic planning sessions and workshops, guiding leadership through the process of setting priorities and defining actionable steps. • Develop and mentor team members, cultivating leadership skills and building a pipeline of talent to support future organizational growth and success. • Assess and streamline organizational processes to enhance operational efficiency, identifying areas for improvement and implementing best practices. • Develop and implement performance metrics to monitor operational effectiveness, ensuring that key performance indicators (KPIs) are met and reported regularly. • Drive initiatives that promote resource optimization, ensuring that teams have the necessary tools, processes, and support to achieve their goals. • Foster a positive and inclusive organizational culture by promoting core values, encouraging collaboration, and recognizing team contributions. • Promote a culture of accountability by setting clear expectations, monitoring performance, and recognizing achievements within teams. • Utilize data-driven analysis and market research to inform decision-making processes, providing insights that guide project direction and strategic initiatives. • Prepare and present reports on project status, outcomes, and lessons learned to senior leadership, ensuring transparency and accountability.

Patient Navigator Who We Are Immersiv is a new medical infusion clinic company that is designed to enhance both the providers’ and patients’ experiences as they navigate through the healthcare system. Healthcare today is disjointed, confusing, and transactional. We see the opportunity to treat our infusion clinics as something more than just a place for patients to receive their medication. Immersiv will also offer access to vaccines, outcomes assessments, and so much more. In addition, we empower our clinicians to promote conversations about patients’ concerns, action on prescriptive opportunities, and provide elite medical care overall. About This Role The Patient Navigator works closely with referring providers, patients, and payors to on-board patients to service as timely and seamlessly as possible. They help ensure patients are qualified for service and coordinate initiation and on-going treatment with all parties involved. What You’ll Do - Process new patient referrals, entering patient demographic, payor, and billing information timely and accurately. - Communicate with various payors, referral sources, patients and representatives regarding: - Documentation to support medical necessity, payor coverage, and appeals - Financial assistance eligibility and enrollment - Payment plans for patient financial responsibility - Pharmaceutical/Manufacturer hub services and enrollment - Verify eligibility and benefits accurately and in a timely manner in accordance with company policies. - Obtain initial authorizations following company policy and maintain active authorization on all patients as appropriate. - Ensure thorough documentation of all coordination and all necessary documentation for billing is in the patient’s record. - Schedule patient visits according to established procedures. - Obtain patient orders, office visit notes, diagnostic and lab results from outside provider offices. - Comply with payor medical policy, FDA guidelines, and CMS billing and coding guidelines. - Process all required paperwork according to established procedures while ensuring data integrity. - Update knowledge and skills by attending in-service programs throughout the year. - Answer telephone calls and emails in a professional and timely manner. - Other related duties as assigned. Requirements - High school diploma or equivalent - Minimum of two years’ experience in patient intake, revenue operations, billing, insurance case management or clinical setting in a healthcare facility - Must possess a strong work ethic and team mentality, with excellent interpersonal skills for interacting with patients, providers, and coworkers. Preferred Experiences - Prior experience with ambulatory infusion center software or EMR - Prior experience within a specialty pharmacy setting What We Offer We offer a competitive compensation + commission package in addition to a benefits package (medical, dental, and vision insurance, 401k). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills, and experience.