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Authorization Home Infusion Supervisor

Authorization Home Infusion Supervisor

AIS HealthcareDallas, TX, United States
6 hours ago
Job type
  • Full-time
Job description

Authorization Home Infusion Supervisor at AIS Healthcare summary :

The Authorization Home Infusion Supervisor oversees daily operations of a home infusion authorization department, ensuring compliance with healthcare regulations and high-quality patient service. They lead and mentor staff, manage insurance verifications, and collaborate with various healthcare teams to support infusion therapy delivery. The role demands strong communication, leadership, and detailed knowledge of medical billing, insurance, and pharmacy software systems.

  • Home Infusion experience required IG / Specialty products preferred
  • Remote position (office optional)

Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

The perfect candidate should have outstanding communication and time management skills, extreme attention to detail and accuracy, have in-depth knowledge of insurance benefit verification, and work in compliance with Federal and State rules and regulations.

AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, remote work from home opportunity, growth, and more!

REQUIRED EDUCATION AND EXPERIENCE :

High school diploma or general education degree (GED) equivalent is required.

  • Bachelor's degree preferred or equivalent combination of experience and education.
  • Minimum of 3 years of experience in customer service, intake, medical billing and coding,

    • insurance verification, healthcare, or similar vocations, preferably in the home infusion field

    required.

  • 1-3 years of supervisory experience in all aspects of business office functions in a healthcare

    • setting required.

    ESSENTIAL DUTIES AND RESPONSIBILITIES :

  • Supervises, plans, organizes and directs the daily activities of the department .
  • Documents, monitors and evaluates the performance of staff members to ensure compliance with

    • operating procedures and standard practices.

  • Provides leadership, oversight, and technical guidance to employees and assists to resolve difficult

    • cases.

  • Coaches and mentors employees to ensure expectations and goals are met.
  • Documents and delivers real time performance feedback to employees.
  • Conducts formal monthly feedback with employees to discuss performance and improvement

    • opportunities. Also, creates and administers employee annual reviews.

  • Performs regular team meetings to discuss updates and / or program changes.
  • Manages and documents personnel issues.
  • Administers disciplinary action when applicable.
  • Responsible for adhering to the quality, production, and turnaround standards associated with the

    • department and / or assigned program.

  • Trains new and existing associates in the use of pharmacy software system, supplemental

    • applications, job responsibilities, and departmental workflow. Identifies deviations from training

    and / or processes during normal work activity.

  • Tracks daily reporting of hours worked and time off through the company time-keeping system.
  • Participates in the interviewing, hiring and onboarding of new employees.
  • Collaborates with management with day to day staffing / scheduling and other personnel / HR

    • concerns.

  • Responds to patient inquiries, requests and issues when situations get escalated to a higher level

    • of authority.

  • Establishes, maintains and promotes strong professional relationships with internal and external

    • parties.

  • Communicates and collaborates with other departments, including nursing, pharmacy and sales.
  • Participates in any variety of meetings and work groups to integrate activities, communicate issues,

    • obtain approvals, resolve problems, and maintain specified level of knowledge pertaining to new

    developments, requirements, and policies.

  • Makes suggestions and recommendations to management in an effort to continually improve the

    • operation.

  • Complies with and adheres to all regulatory compliance areas, policies and procedures and

    • company best practices.

  • Creates corrective and preventative action reports when necessary.
  • Works together as a team in support of all departments.
  • Serves as the back-up and support of the manager as needed.
  • Recognizes patients' rights and responsibilities and supports them in the performance of job duties;

    • respects patient's rights to privacy and confidentiality.

  • Maintains a thorough understanding of NDC (National Drug Code) numbers, metric quantities, and

    • knowledge of infusion supplies.

  • Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures,

    • government regulations, and medical codes.

  • Shares knowledge gained with other staff members and works as a team member.
  • Interacts with others in a positive, respectful, and considerate manner.
  • Performs other job related duties as assigned.
  • Performs related duties as assigned.

    • QUALIFICATION REQUIREMENTS :

  • Ability to provide leadership and direction to employees.
  • Approachable and dedicated to providing the highest quality of service.
  • Ability to communicate effectively and professional with patients, physicians, and coworkers .
  • Ability to make decisions, solve problems, and work independently with little supervision.
  • Demonstrate active listening and understanding skills.
  • Ability to work with people in a team-oriented environment.
  • Demonstrate extreme attention to detail and accuracy.
  • Ability to prioritize and meet deadlines.
  • Ability to adapt to change quickly.
  • Strong work ethic with personal qualities of integrity and credibility.
  • Excellent oral and written communication, interpersonal, organizational and management skills .
  • Extensive knowledge of insurance carriers including, major medical benefits, PBM's and per diem

    • coverage as well as knowledge of government and patient assistance programs.

  • Proficient in the use of Microsoft Office products.

    • 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, combines with your 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 hardwork

    Skills & Requirements Qualifications

    Keywords :

    home infusion, authorization supervisor, insurance verification, medical billing, pharmacy software, patient care coordination, healthcare compliance, staff supervision, customer service, infusion therapy

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