Experienced Intake / Verification Specialist

AIS Healthcare; Cleveland (OH); Remote; USD 40,000 - 80,000; Full time

Job summary

An innovative healthcare provider is looking for an experienced Intake/Verification Specialist to join their remote team. This role requires a strong background in benefit verification and authorization, with a focus on compliance and excellent communication skills. The ideal candidate will thrive in a supportive environment that values integrity and teamwork. With a commitment to improving lives through quality care, this position offers growth opportunities and a comprehensive benefits package, making it an exciting chance to make a meaningful impact in the healthcare industry.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

401K with Employer Match

Vacation Package

Remote Work 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 into EHR systems following SOPs.
• Review and appeal authorization denials.

Skills

Intake Verification

Benefit Authorization

Communication Skills

Data Entry

HIPAA Compliance

Education

High School Diploma or GED

Tools

EHR Systems

Microsoft Office Suite

Job description

Experienced Intake / Verification Specialist

Join to apply for the Experienced Intake / Verification Specialist role at AIS Healthcare.

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 care experience.

We are seeking an experienced and motivated benefit verification and authorization expert to join our team. The ideal candidate will have excellent communication skills, in-depth knowledge of collection practices, and work in compliance with Federal and State regulations related to benefit verification and authorization.

Our benefits include health, vision, dental insurance, long-term disability, life insurance, a vacation package, 401K with employer match, 100% remote work, 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 for payers like Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, Medicaid.
• Understanding of authorization processes including 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 per SOPs.
• Timely response to Quality Reviews.
• Respect patient rights and confidentiality, adhering to HIPAA.
• Knowledge of NDC numbers, infusion supplies, and medical terminology.
• Collaborate with team members and share knowledge.
• Perform other duties as assigned.

Qualifications

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

Application Steps

Complete the Culture Index Candidate Assessment via the provided link. Failure to complete the assessment will disqualify your application.

Assessment link: portal.cultureindex.com/public/survey/general/0BFB8F0000

About AIS Healthcare

We provide sterile, patient-specific intrathecal pump medications and in-home infusion therapies, supporting physicians and hospitals in delivering superior care.

We seek positive, hardworking impact players to join our team and make a difference.