Home Infusion Intake Coordinator

Hirebridge; Houston (TX); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake Coordinator for a remote position. This role involves ensuring patient access to medications by managing insurance verifications and authorizations. Ideal candidates will have strong communication skills, attention to detail, and a background in healthcare. Comprehensive benefits include health insurance, 401K, and growth opportunities.

Benefits

Health, vision, dental insurance

401K with employer match

Remote work opportunities

Vacation package

Growth opportunities

Qualifications

• Minimum 2 years’ experience in customer service, medical billing and coding, or related fields.
• Proficiency in English (listening, speaking, reading, writing).
• Ability to prioritize and meet deadlines.

Responsibilities

• Provide patient access to medications and therapies by contacting insurance companies.
• Conduct benefit investigations for new patient referrals.
• Communicate with patients and physicians regarding benefits and authorization statuses.

Skills

Effective communication

Decision-making

Problem-solving

Attention to detail

Team-oriented

Education

High school diploma or GED

Tools

Microsoft applications

Job description

*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 dedicate ourselves to doing more for our patients by providing quality products and services that enhance the entire care experience.

Advanced Infusion Care is seeking an experienced and motivated Intake Coordinator to join our dynamic team! This full-time role involves providing patient access to medications and therapies by contacting insurance companies, verifying insurance eligibility, benefits, coverage/non-coverage, and managing authorizations.

The ideal candidate should possess excellent communication and time management skills, meticulous attention to detail and accuracy, in-depth knowledge of insurance benefit verification, and compliance with Federal and State regulations.

We offer comprehensive benefits, including health, vision, dental insurance, long-term disability, life insurance, a vacation package, 401K with a generous employer match, remote work, growth opportunities, and more!

REQUIRED EDUCATION AND EXPERIENCE:

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

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Enter demographic, physician, insurance, authorization, and other patient information into the profile system.
2. Review incoming faxed prescriptions and attach them to the appropriate patient profile.
3. Contact patients or physicians to gather missing information.
4. Conduct benefit investigations for new patient referrals, evaluating pharmacy and medical plans.
5. Obtain necessary clinical, lab, and testing documentation for prior authorization submissions.
6. Follow up on authorizations until approval is obtained.
7. Communicate with patients, physicians, and departments regarding benefits and authorization statuses.
8. Address denials, providing options for peer-to-peer reviews or appeals.
9. Update other departments on the intake process status.
10. Notify patients and families about coverage and payment responsibilities.
11. Assist patients expressing financial hardship with Care Support Program documentation and manufacturer co-pay cards.
12. Document all interactions and progress notes in the patient’s record.
13. Identify in-network or mandated pharmacy providers if insurance constraints prevent service, and communicate this information.
14. Provide leadership and guidance to team members, assist with case resolution, and train new associates.
15. Develop and suggest workflow process improvements, and help document process changes.
16. Participate in meetings and work groups to coordinate activities and stay updated on policies.
17. Train staff on pharmacy software, applications, customer service, and workflow processes.
18. Identify deviations from training or processes and address them.
19. Serve as SME for new applications and system upgrades.
20. Promote training participation and coach staff on workflow adherence and change management.
21. Ensure compliance with all applicable regulations, policies, and best practices.
22. Maintain quality, productivity, and turnaround standards.
23. Perform other duties as assigned.

PREFERRED EXPERIENCE: Home Infusion Coordination

QUALIFICATION REQUIREMENTS:

• Effective communication skills with patients, physicians, and colleagues.
• Proficiency in English (listening, speaking, reading, writing).
• Decision-making, problem-solving, and independent work capabilities.
• Thorough knowledge of processes, systems, and techniques for successful authorization.
• Ability to identify documentation gaps, determine solutions, and implement corrective actions.
• Strong leadership skills.
• Ability to train and demonstrate interactions with patients and prescribers effectively.
• Team-oriented and service-focused attitude.
• High attention to detail and accuracy.
• Ability to prioritize and meet deadlines.
• Basic computer skills and familiarity with Microsoft applications.

Steps to Apply:

Complete a Culture Index Assessment to be considered. Applications without the assessment will not be reviewed.

AIS Healthcare specializes in sterile, patient-specific intrathecal pump medications and in-home infusion services, including immune globulin therapies, supporting physicians and hospitals in delivering superior care.

We seek positive, earnest, and hardworking impact players to join our vibrant work culture.