Home Infusion Intake Coordinator

Overview

Home Infusion Intake Coordinator at AIS Healthcare

Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. We are committed to innovation, stewardship, and unity to advance quality and improve lives. We are looking for an experienced and motivated Intake Coordinator to join our team. The Intake Coordinator role is a full-time position responsible for providing patient access to medications and therapies by contacting insurance companies and verifying health insurance eligibility, benefits, coverage / non-coverage information, and initiation / extension of authorizations.

The ideal candidate will have outstanding communication and time management skills, extreme attention to detail and accuracy, deep knowledge of insurance benefit verification, and the ability to work in compliance with Federal and State rules and regulations.

Salary : $23.00 to $35.00 per hour based on years of intake experience.

Benefits include health, vision and dental insurance, long term disability, life insurance, a vacation package, 401K with generous employer match, remote work from home opportunity, growth, and more.

Required Education and Experience

A high school diploma or GED is required; minimum 2 years experience in customer service, medical billing and coding, benefits verification, healthcare, or similar vocations. Specifically seeking experience with California payers.

Essential Duties And Responsibilities

• Enter all required demographic, physician, insurance, authorization, and other information into a profile for all new patients.
• Review all incoming faxed prescription orders and attach to new or existing patient profile.
• Contact patient or physician to fill in any missing information.
• Conduct comprehensive benefit investigation for new patient referrals. Evaluate pharmacy benefit plans and medical benefit plans.
• Obtain clinical, lab, and medical testing documentation from physicians offices for submission of prior authorization.
• Perform timely follow up on authorizations through the process until approved.
• Communicate with patients, physicians, and other departments on benefits and the status of authorization requests.
• Communicate denials to physicians offices and provide follow up details on the peer to peer or appeal options.
• Regularly communicate the status of the intake process to other departments, including Nursing, Pharmacy and Sales.
• Notify patients / families / referral sources regarding coverage and payment responsibilities as necessary.
• Provide explanation and paperwork for Care Support Program to patients who express financial hardship. Utilize manufacturer co-pay cards as appropriate.
• Document in the patients clinical record progress notes, all requests and conversations for seamless coordination of care.
• Identify in-network or mandated pharmacy providers if unable to service a patient due to insurance constraints. Communicate related information to the patient and the physician offices and triage referral as directed.
• Provide leadership, oversight, and technical guidance to associates, and assist to resolve difficult cases. Train new associates.
• Suggest and develop documentation to standardized workflow process changes and submit for approval. Assist to document authorized process changes to Job Aids.
• Participate in meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain knowledge of new developments, requirements, and policies.
• Train new and existing associates in the use of pharmacy software system, supplemental applications, customer service techniques, job responsibilities, and departmental workflow.
• Identify deviations from training and / or processes during normal work activity.
• Serve as the SME for new applications, software upgrades, work queues, accuracy and related processes.
• Promote training participation and coach associates in following new and existing workflow processes. Deliver messages that promote change.
• Comply with and adhere to all regulatory compliance areas, policies and procedures and company best practices.
• Responsible for adhering to the quality, production, and turnaround standards associated with the department and / or assigned program.
• Other duties as assigned.

Qualifications

Preferred Experience - Home Infusion Coordination

Steps To Apply

To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed. Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.

AIS HealthCare is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combined with our advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.

We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.

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