Experienced Intake / Verification Specialist

AIS Healthcare; Dallas (TX); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a motivated Intake/Verification Specialist to enhance their dynamic team. This full-time role focuses on benefit verification and authorization, requiring expertise in insurance eligibility and compliance with Federal and State regulations. The ideal candidate will thrive in a 100% remote work environment, leveraging their communication skills and knowledge of medical terminology to ensure efficient handling of authorizations and denials. Join a supportive culture that values hard work and dedication while contributing to the pharmaceutical manufacturing industry.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability

Life insurance

Vacation

401K with employer match

Qualifications

• 3+ years of intake/verification experience required.
• Knowledge of patient insurance eligibility and benefits.

Responsibilities

• Handle authorization processes and enter data into EHR systems.
• Follow up on pending or expired authorizations and referrals.

Skills

Benefit verification

Authorization processes

Communication skills

Knowledge of insurance eligibility

Education

High school diploma or GED

Tools

EHR systems

Job description

Experienced Intake / Verification Specialist

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

Role Overview

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

Requirements

• At least 3 years of intake / verification experience (mandatory).
• High school diploma or GED required.
• Preferred experience in Home Infusion and Intrathecal Pain Management.

Responsibilities

• Knowledge of patient insurance eligibility and benefits across various payers, including Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, and Medicaid.
• Handle authorization processes like 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 dispute authorization denials, initiate appeals, and document all interactions.
• Maintain confidentiality and adhere to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, and medical terminology.
• Collaborate with team members and communicate effectively.

Benefits

Competitive benefits including health, vision, dental insurance, long-term disability, life insurance, vacation, 401K with employer match, and a 100% remote work environment.

Application Process

Complete the Culture Index Candidate Assessment as part of your application to be considered. Instructions are provided in the job posting.

Additional Information

We value a positive, earnest, and hardworking attitude and offer a supportive work culture. The position is full-time, mid-senior level, and in the pharmaceutical manufacturing industry.