Experienced Intake / Verification Specialist

AIS Healthcare; Lexington (KY); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking an Experienced Intake / Verification Specialist to join their dynamic remote team. This role requires a minimum of 3 years of experience in benefit verification and authorization, emphasizing excellent communication skills and a strong understanding of insurance processes. The ideal candidate will thrive in a supportive environment that values innovation and teamwork, while also enjoying comprehensive benefits including health, dental, and a generous 401K plan. If you're passionate about advancing quality care and improving lives, this opportunity is perfect for you.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

Vacation Package

401K Plan with Employer Match

100% Work-from-home Flexibility

Growth Opportunities

Qualifications

• 3+ years of intake/verification experience in healthcare.
• Proficient in insurance eligibility and benefits processes.

Responsibilities

• Accurate entry of insurance and authorization data into EHR systems.
• Follow-up on pending or expired authorizations and referrals.

Skills

Intake / Verification Experience

Communication Skills

Knowledge of Collection Practices

Detail-oriented

Proficient in Microsoft Office

Education

High School Diploma or GED

3-5 years of Healthcare Industry Experience

Job description

Experienced Intake / Verification Specialist

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Please only apply if you have at least 3 years of intake / verification experience. This is a remote opportunity.

AIS Healthcare is the 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 experienced and motivated benefit verification and authorization experts to join our dynamic team. The ideal candidate will have outstanding 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 excellent benefits, including health, vision, dental insurance, long-term disability, life insurance, a vacation package, a 401K plan with a generous employer match, 100% work-from-home flexibility, growth opportunities, and more.

Education and Experience

• A high school diploma or GED equivalent 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 across various 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 entry of insurance and authorization data into EHR systems following SOPs.
• Follow-up on pending or expired authorizations and referrals.
• Review and contest authorization denials; initiate appeals as needed.
• Document all calls per SOPs.
• Timely response to Quality Reviews.
• Respect patient rights and confidentiality, adhering to HIPAA guidelines.
• Knowledge of NDC numbers, infusion supplies, and medical billing procedures.
• Share knowledge with team members and collaborate effectively.
• Interact positively and respectfully with others.
• 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.
• Detail-oriented, organized, and self-motivated.
• Proficient in Microsoft Office (Outlook, Word, Excel).

How to Apply

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

Copy and paste this link into your browser: portal.cultureindex.com/public/survey/general/0BFB8F0000

Why does AIS utilize this assessment? It helps us match candidates to roles that suit their traits and skills, fostering a strong team culture.

We seek impact players who are positive, earnest, and hardworking.