Experienced Intake / Verification Specialist

Hirebridge; Cincinnati (OH); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake / Verification Specialist for a fully remote role. The ideal candidate will have a strong background in benefit verification and authorization, with excellent communication skills and attention to detail. Responsibilities include managing insurance eligibility processes, data entry, and compliance with regulations. AIS Healthcare offers comprehensive benefits and opportunities for growth in a supportive work environment.

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 into EHR systems.
• Document all communications per departmental SOPs.

Skills

Communication

Judgment

Detail-oriented

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 quality 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 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.

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; a 100% remote work environment; growth opportunities; 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 processes 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 of insurance and authorization information into EHR systems following standard procedures.
• Follow-up on pending or expired authorizations and referrals.
• Review authorization denials for accuracy and initiate appeals as needed.
• Document all communications per departmental SOPs.
• Respond promptly to quality reviews.
• Respect patient rights and confidentiality, adhering to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, and relevant medical and insurance terminology.
• Share knowledge with team members and collaborate effectively.
• 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.
• Detail-oriented, organized, self-directed, and reliable.
• Proficient in Microsoft Office applications.

Application Steps:

Complete the required 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 to the right roles, fostering a culture of teamwork and success.

How to complete the assessment?

Follow the instructions provided in the job posting. AIS Healthcare specializes in sterile, patient-specific intrathecal pump medications and in-home intravenous infusions, supporting physicians and hospitals in delivering optimal care.

We seek impact players who are positive, earnest, and hardworking to join our vibrant work culture.