Experienced Intake / Verification Specialist

AIS Healthcare; Fort Wayne (IN); Remote; USD 45,000 - 60,000; Full time

Job summary

AIS Healthcare is looking for a benefits verification and authorization expert with at least 3 years of experience in intake/verification. This remote role requires excellent communication skills and in-depth knowledge of insurance processes. The position offers a comprehensive benefits package including health, vision, and dental insurance, along with opportunities for growth.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability insurance

Life insurance

Vacation package

401K plan with employer match

Opportunities for growth

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 standard procedures.
• Review and appeal authorization denials as needed.

Skills

Communication

Judgment

Relationship-building

Detail-oriented

Education

High school diploma or GED

Tools

Microsoft Office

Job description

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 aim to advance quality and improve lives by providing quality products and services that enhance the entire care experience.

We are seeking an experienced and motivated benefits 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.

Our benefits include 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; opportunities for growth; 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 into EHR systems following standard procedures.
• Follow-up on pending or expired authorizations and referrals.
• Review and appeal authorization denials as needed.
• Document all calls and interactions per departmental procedures.
• Timely response to quality reviews.
• Respect patient rights and confidentiality, adhering to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, medical terminology, billing procedures, regulations, and medical codes.
• Share knowledge with team members and work collaboratively.
• Interact positively and respectfully with others.
• 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.
• Self-directed, organized, detail-oriented, and conscientious.
• Proficient in Microsoft Office applications.

Application Steps:

Complete the Culture Index Candidate Assessment as part of your application. Instructions are provided below.

• Applications without the completed assessment will not be considered.

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

At AIS Healthcare, we provide advanced sterile, patient-specific intrathecal pump medications, in-home intravenous infusion, and immune globulin therapies. Our services, combined with nursing and care coordination, help physicians and hospitals deliver superior care for optimal outcomes.

We seek positive, earnest, and hardworking impact players to join our team and contribute to our positive work culture.