Home Infusion Intake & Authorization Coordinator

AIS Healthcare; United States; Remote; USD 42,000 - 55,000; Full time

Job summary

Advanced Infusion Care (AIC), a division of AIS Healthcare, seeks an experienced Intake Coordinator to join our team. This role ensures patient access to infusion therapies by handling insurance verification, benefits investigations, and authorizations, coordinating onboarding with providers and nursing staff.

You will work across patients, providers, nursing, pharmacy, and sales teams with a solid grasp of infusion reimbursement and payer requirements. This is not a general medical intake role.

Qualifications

• High School Diploma or GED required.
• Minimum of 2 years in Home Infusion Intake, Specialty Pharmacy Intake, Infusion Center Intake, or Authorization/Benefits Verification.
• Experience with insurance verification, benefits investigation and prior authorizations.

Responsibilities

• Enter patient, physician, insurance, and authorization information into company systems.
• Review referrals and prescription orders for completeness.
• Contact patients and providers to obtain missing information.
• Conduct comprehensive benefits investigations for new referrals.
• Review medical and pharmacy benefit plans for eligibility.
• Gather clinical documentation needed for prior authorizations.
• Monitor and follow through on authorizations to approval.
• Communicate authorization status to patients, providers, and internal teams.
• Assist denials with appeals and peer-to-peer review processes.
• Educate patients regarding coverage and financial responsibility.
• Coordinate care across Nursing, Pharmacy, Sales, and Reimbursement teams.
• Assist patients with manufacturer programs and financial support options.
• Identify alternate pharmacy providers when payer restrictions apply.
• Support training and development of new team members.
• Participate in process improvement and workflow optimization.

Skills

Excellent communication

Customer service

Attention to detail

Organizational skills

Time management

Independent work

Microsoft Outlook

Microsoft Word

Microsoft Excel

Education

High School Diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Advanced Infusion Care (AIC), a division of AIS Healthcare, seeks an experienced Intake Coordinator to join our team. This role ensures patient access to infusion therapies by handling insurance verification, benefits investigations, and authorizations, coordinating onboarding with providers and nursing staff.

You will work across patients, providers, nursing, pharmacy, and sales teams with a solid grasp of infusion reimbursement and payer requirements. This is not a general medical intake role.