Home Infusion Intake Coordinator

AIS Healthcare; Denver (CO); Remote; USD 50,000 - 70,000; Full time

Job summary

AIS Healthcare is seeking a Home Infusion Intake Coordinator to join their team. This full-time remote position involves ensuring patient access to necessary medications by liaising with insurance companies and managing authorizations. The ideal candidate will have strong communication skills, attention to detail, and experience in healthcare settings.

Benefits

Health, vision, and dental insurance

401K plan with generous employer match

Long-term disability insurance

Life insurance

Vacation package

Qualifications

• Minimum 2 years’ experience in customer service, medical billing, or healthcare.
• In-depth knowledge of insurance benefit verification.
• Experience in home infusion coordination preferred.

Responsibilities

• Provide patient access to medications by verifying insurance eligibility.
• Conduct comprehensive benefit investigations for new patient referrals.
• Communicate with patients and physicians regarding authorization requests.

Skills

Communication

Attention to Detail

Problem Solving

Time Management

Education

High school diploma or GED equivalent

Tools

Microsoft applications

Job description

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*Home Infusion experience required - IVIG products preferred*

Remote position

Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

Advanced Infusion Care is looking for an experienced and motivated Intake Coordinator to join our dynamic team! The Intake Coordinator role is a full-time position responsible for providing patient access to the medication and therapies needed by contacting insurance companies and verifying the patient’s health insurance eligibility, benefits, coverage/non-coverage information, and initiation/extension of authorizations.

The ideal candidate should have outstanding communication and time management skills, extreme attention to detail and accuracy, in-depth knowledge of insurance benefit verification, and work in compliance with Federal and State rules and regulations.

AIS Healthcare offers great benefits, including health, vision, and dental insurance, long-term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, remote work from home opportunity, growth, and more!

Required Education and Experience

A high school diploma or GED equivalent is required; minimum 2 years’ experience in customer service, medical billing and coding, benefits verification, healthcare, or similar vocations.

Essential Duties and Responsibilities

• Enter all required demographic, physician, insurance, authorization, and other information into a profile for all new patients.
• Review all incoming faxed prescription orders and attach to new or existing patient profile.
• Contact patient or physician to fill in any missing information.
• Conduct comprehensive benefit investigation for new patient referrals. Evaluate pharmacy benefit plans and medical benefit plans.
• Obtain clinical, lab, and medical testing documentation from physicians’ offices for submission of prior authorization.
• Perform timely follow-up on authorizations until approved.
• Communicate with patients, physicians, and other departments on benefits and the status of authorization requests.
• Communicate denials to physicians’ offices and provide follow-up details on peer-to-peer or appeal options.
• Regularly communicate the status of the intake process to other departments, including Nursing, Pharmacy, and Sales.
• Notify patients/families/referral sources regarding coverage and payment responsibilities as necessary.
• Provide explanation and paperwork for Care Support Program to patients who express financial hardship. Utilize manufacturer co-pay cards as appropriate.
• Document all requests and conversations in the patient’s clinical record for seamless coordination of care.
• Identify in-network or mandated pharmacy providers if unable to service a patient due to insurance constraints. Communicate related information to the patient and physician offices and triage referral as directed.
• Provide leadership, oversight, and technical guidance to associates, and assist in resolving difficult cases. Train new associates.
• Suggest and develop documentation to standardize workflow process changes and submit for approval. Assist in documenting authorized process changes to Job Aids.
• Participate in meetings and work groups to coordinate activities, communicate issues, obtain approvals, resolve problems, and stay updated on new developments, requirements, and policies.
• Train new and existing associates in the use of pharmacy software systems, supplemental applications, customer service techniques, job responsibilities, and departmental workflow.
• Identify deviations from training and/or processes during normal work activity.
• Serve as the SME for new applications, software upgrades, work queues, accuracy, and related processes.
• Promote training participation and coach associates in following workflow processes. Communicate messages that promote change.
• Ensure compliance with all regulatory requirements, policies, procedures, and company best practices.
• Adhere to quality, production, and turnaround standards for the department and/or assigned program.
• Other duties as assigned.

Qualification Requirements

PREFERRED EXPERIENCE - Home Infusion Coordination

• Effective communication with patients, physicians, and coworkers.
• Active listening, speaking, understanding, and writing in English.
• Ability to make decisions, solve problems, and work independently with minimal supervision.
• Proven knowledge and utilization of processes, systems, and techniques for successful authorization.
• Ability to identify gaps and problems from documentation review, determine solutions, make effective decisions, and take corrective actions.
• Strong leadership capabilities.
• Ability to teach and demonstrate proper interactions with patients and prescribers in an understandable manner.
• Enjoy working in a team-oriented, service-focused environment.
• Extreme attention to detail and accuracy.
• Ability to prioritize and meet deadlines.
• Basic computer proficiency and knowledge of Microsoft applications.

Steps to Apply

Complete a Culture Index Assessment to be considered. Your application will not be considered without it.

Copy and paste this link into your browser: portal.cultureindex.com/public/survey/general/0BFB8F0000. Select the corresponding position and complete the brief assessment (less than ten minutes).

AIS Healthcare is a leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion services, including immune globulin therapies. We value a positive, earnest, and hardworking work culture.