Experienced Intake / Verification Specialist

Hirebridge; Charlotte (NC); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake/Verification Specialist. The role involves verifying patient benefits, managing authorizations, and ensuring compliance with regulations. Ideal candidates will have strong communication skills and healthcare experience. This is a fully remote position offering comprehensive benefits and growth opportunities.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability Insurance

Life Insurance

401K Plan with Employer Match

Vacation Package

Growth Opportunities

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 processes.
• Accurate data entry of insurance and authorization information.
• Document all calls and interactions per SOPs.

Skills

Communication

Judgment

Detail-oriented

Organized

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. With a diverse culture and core values of Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We dedicate ourselves to enhancing the care experience through quality products and services.

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

AIS Healthcare offers comprehensive benefits, including health, vision, and dental insurance; long-term disability and life insurance; a vacation package; a 401K plan with a generous employer match; 100% remote work; growth opportunities; and more.

Education and Experience:

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

Essential Duties and Responsibilities:

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

Qualification Requirements:

• Good judgment in complex situations, with knowledge of laws and regulations.
• Excellent verbal and written communication skills, with relationship-building ability.
• Strong work ethic, integrity, and credibility.
• Self-motivated, detail-oriented, organized, and reliable.
• Ability to handle multiple variables and problems systematically.
• Proficiency in Microsoft Office applications.

Steps to Apply:

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

Why do we use the Culture Index?

• We value our employees and aim to match their traits and skills with suitable roles to ensure mutual success.

How to complete the assessment?

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

About AIS Healthcare:

We are a leading provider of sterile, patient-specific intrathecal pump medications, in-home IV therapies, and nursing solutions, committed to delivering high-quality patient care.

We seek positive, dedicated, and hardworking impact players to join our team.