Experienced Intake / Verification Specialist

AIS Healthcare; Charlotte (NC); Remote; USD 45,000 - 65,000; Full time

Job summary

AIS Healthcare recherche un spécialiste expérimenté des admissions et vérifications pour gérer l'éligibilité des patients et les processus d'autorisation dans un environnement de soins de santé dynamique. Le candidat idéal doit avoir au moins 3 ans d'expérience et de fortes compétences en communication. Nous offrons des avantages complets incluant une opportunité de travail à 100 % à domicile et un environnement de travail favorable à la croissance.

Benefits

Assurance santé, vision et dentaire

Assurance invalidité à long terme

Plan 401K avec contribution de l'employeur

Vacances

Opportunité de croissance

Qualifications

• 3-5 ans d'expérience en secteur de santé préférée.
• Expérience en Home Infusion et gestion de la douleur intrathécale est un plus.

Responsibilities

• Gérer l'éligibilité et avantages des patients pour l'assurance.
• Traiter les processus d'autorisation et suivre les autorisations en attente.

Skills

Communication

Connaissance des pratiques de collecte

Intégrité

Organisation et attention aux détails

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Experienced Intake / Verification Specialist

Join AIS Healthcare as an Experienced Intake / Verification Specialist. We are seeking a motivated professional with at least 3 years of intake and verification experience to join our team.

About AIS Healthcare

We are a leading provider of Targeted Drug Delivery (TDD) and Infusion Care solutions, committed to advancing quality and improving lives through innovation, stewardship, and unity. Our mission is to enhance the care experience by providing quality products and services.

Position Overview

The ideal candidate will have excellent communication skills, in-depth knowledge of collection practices, and the ability to work in compliance with federal and state regulations related to benefit verification and authorization activities.

Benefits

We offer comprehensive benefits including health, vision, and dental insurance; long-term disability; life insurance; a vacation package; a 401K plan with a generous employer match; 100% work-from-home opportunity; and growth potential.

Qualifications

• 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.

Responsibilities

• Manage patient insurance eligibility and benefits across various payers such as Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, and Medicaid.
• Handle authorization processes including GAPs, pre-determinations, PCP referrals, and single case agreements.
• Accurately enter insurance and authorization data into EHR systems.
• Follow up on pending or expired authorizations and referrals.
• Review and appeal authorization denials.
• Document all calls and interactions per SOPs.
• Maintain confidentiality and adhere to HIPAA regulations.
• Stay informed about NDC numbers, infusion supplies, and medical billing procedures.
• Collaborate with team members and communicate effectively with stakeholders.

Qualifications

• Good judgment in complex situations, understanding of laws and regulations.
• Excellent communication and relationship-building skills.
• Integrity, credibility, and a strong work ethic.
• Organized, detail-oriented, and self-motivated.
• Proficient in Microsoft Office applications.

Application Process

Complete the Culture Index Candidate Assessment via the provided link. Applications without the assessment will not be considered.

Additional Information

We value a positive, earnest, and hardworking attitude and offer a supportive work culture.