Experienced Intake / Verification Specialist

Hirebridge; Atlanta (GA); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake / Verification Specialist for a remote opportunity. The ideal candidate will have at least 3 years of relevant experience, excellent communication skills, and a strong understanding of insurance processes. Responsibilities include verifying patient benefits, managing authorizations, and ensuring compliance with regulations. Join a dynamic team that values innovation and quality care.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability insurance

Life insurance

401K plan with employer match

Vacation package

Work-from-home

Opportunities for growth

Qualifications

• 3-5 years of healthcare industry experience preferred.
• Experience in Home Infusion and Intrathecal Pain Management is a plus.

Responsibilities

• Knowledge of patient insurance eligibility and benefits across various payers.
• Accurate data entry into EHR systems following SOPs.
• Review and appeal authorization denials.

Skills

Communication

Relationship-building

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Experienced Intake / Verification Specialist

Please only apply if you have at least 3 years of intake / verification experience — this is a remote opportunity.

AIS Healthcare is a leading provider of Targeted Drug Delivery (TDD) and Infusion Care solutions. Committed to innovation, stewardship, and unity, we focus on advancing quality and improving lives by providing products and services that enhance the entire care experience.

We are seeking an experienced and motivated benefit verification and authorization expert to join our dynamic team. The ideal candidate should possess excellent communication skills, in-depth knowledge of collection practices, and be compliant with federal and state regulations related to benefit verification and authorization activities.

Benefits include health, vision, and dental insurance; long-term disability and life insurance; a vacation package; a 401K plan with a generous employer match; 100% work-from-home; opportunities for growth, and more!

Education and Experience:

• High school diploma or GED required.
• 3-5 years of healthcare industry experience preferred.
• Experience in Home Infusion and Intrathecal Pain Management is a plus.

Essential Duties and Responsibilities:

• Knowledge of patient insurance eligibility and benefits across various payers including Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, and Medicaid.
• Understanding of authorization processes such as GAPs, pre-determinations, PCP referrals, and single case agreements.
• Accurate data entry into EHR systems following SOPs.
• Follow-up on pending or expired authorizations and referrals.
• Review and appeal authorization denials.
• Document all calls and interactions per SOPs.
• Timely responses to quality reviews.
• Respect patient rights, privacy, and confidentiality, adhering to HIPAA regulations.
• Knowledge of NDC numbers, infusion supplies, and medical terminology.
• Maintain broad knowledge of insurance plans, billing procedures, and medical codes.
• Share knowledge with team members and collaborate effectively.
• Interact positively and respectfully with others.
• Perform additional duties as assigned.

Qualifications:

• Good judgment in complex situations, with knowledge of laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Self-directed, organized, detail-oriented, and reliable.
• Proficient in Microsoft Office applications.

Application Steps:

Complete the required Culture Index Candidate Assessment as part of your application. Applications without this step will not be considered.

Why do we use the Culture Index Assessment?

• It helps us match candidates’ traits and skills with the right roles, fostering a successful team environment.

How to complete the assessment?

• Follow the instructions provided in this job posting to access and complete the survey.

We offer a positive work environment and are looking for dedicated, hardworking individuals who want to make an impact.