Experienced Intake / Verification Specialist

Hirebridge; Miami (FL); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake / Verification Specialist for a remote position. The ideal candidate will excel in communication, possess strong regulatory knowledge, and have a minimum of 3 years of relevant experience. Responsibilities include managing patient insurance processes and ensuring compliance with regulations. The role offers a collaborative work environment with opportunities for growth.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability Insurance

Life Insurance

401K Plan with Employer Match

Vacation Package

Qualifications

• 3-5 years of healthcare industry experience preferred.
• Knowledge of patient insurance eligibility and benefits processes.

Responsibilities

• Accurate data entry into EHR systems following standard procedures.
• Follow-up on pending or expired authorizations and referrals.

Skills

Communication

Organizational Skills

Attention to Detail

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Experienced Intake / Verification Specialist

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 exceptional products and services that enhance the care experience.

We are seeking an experienced and motivated benefit verification and authorization specialist to join our dynamic team. The ideal candidate will have excellent communication skills, in-depth knowledge of collection practices, and a strong understanding of compliance with federal and state regulations related to benefit verification and authorization.

Benefits at AIS Healthcare include health, vision, and dental insurance; long-term disability and life insurance; a vacation package; a 401K plan with a generous employer match; a 100% remote work environment; opportunities for growth; and more.

Education and Experience

• High school diploma or GED required.
• 3-5 years of healthcare industry experience preferred.
• Experience with 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 SOPs.
• Ensure timely responses to quality reviews.
• Respect patient rights and confidentiality, adhering to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, and medical billing procedures.
• Share knowledge with team members and collaborate effectively.
• Perform additional duties as assigned.

Qualification Requirements

• Good judgment in complex situations, with strong legal and regulatory knowledge.
• 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 Steps

Complete the Culture Index Candidate Assessment as part of your application. Instructions are provided below. Applications without the assessment completed will not be considered.

Why do we use the Culture Index?

• We value our employees and seek to match their traits and skills with suitable roles, fostering a culture of teamwork and success.

How to complete the assessment?

• Follow the instructions provided in the job posting to complete the survey.

At AIS Healthcare, we offer a positive work culture and are looking for impact players who are dedicated, positive, and hardworking.