Experienced Intake / Verification Specialist

AIS Healthcare; Louisville (KY); Remote; USD 50,000 - 80,000; Full time

Job summary

AIS Healthcare is seeking an Experienced Intake / Verification Specialist to join our dynamic team. This role involves verifying patient insurance eligibility and benefits, ensuring compliance with federal regulations, and working with various payers. The ideal candidate should have excellent communication skills and a minimum of 3 years of intake/verification experience. Enjoy a fully remote position with comprehensive benefits, including health insurance and 401K matching.

Benefits

Health insurance

Vision insurance

Dental insurance

401K with employer match

Vacation package

Long-term disability

Life insurance

Work from home options

Growth opportunities

Qualifications

• 3-5 years of healthcare industry experience preferred.
• Good judgment in complex situations, understanding laws and regulations.

Responsibilities

• Knowledge of patient insurance eligibility and benefits across various payers.
• Accurate data entry into EHR systems according to SOPs.
• Follow-up on pending or expired authorizations and referrals.

Skills

Communication skills

Knowledge of patient insurance eligibility

Integrity

Detail-oriented

Proficiency in Microsoft Office

Education

High school diploma or GED

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.

AIS Healthcare is the 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 benefit verification and authorization expert to join our dynamic team. The ideal candidate will have excellent communication skills, a thorough knowledge of collection practices, and work in compliance with Federal and State regulations related to benefit verification and authorization activities.

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.

Responsibilities

• Knowledge of patient insurance eligibility and benefits across various payers (Aetna, Cigna, BCBS, Humana, Workers' Comp, Medicare, Medicaid).
• Understanding of authorization processes such as GAPs, pre-determinations, PCP referrals, and single case agreements.
• Accurate data entry into EHR systems according to SOPs.
• Follow-up on pending or expired authorizations and referrals.
• Review and appeal authorization denials.
• Document interactions per SOPs.
• Ensure timely responses to quality reviews.
• Respect patient rights and confidentiality, adhering to HIPAA.
• Knowledge of NDC numbers, infusion supplies, and medical terminology.
• Share knowledge with team members and collaborate positively.
• Perform other duties as assigned.

Qualifications

• Good judgment in complex situations, understanding laws and regulations.
• Excellent communication and relationship-building skills.
• Integrity, credibility, and a strong work ethic.
• Organized, detail-oriented, and self-motivated.
• Proficiency in Microsoft Office applications.

Application Process

Complete the Culture Index Candidate Assessment via the link provided. Applications without the assessment will not be considered. The assessment is brief and takes less than ten minutes.

Link: portal.cultureindex.com/public/survey/general/0BFB8F0000

Join AIS Healthcare, a leader in sterile, patient-specific intrathecal pump medications and in-home infusion services, and be part of a positive, hardworking culture.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Other
• Industry: Pharmaceutical Manufacturing