Home Infusion Intake Coordinator

Hirebridge; Lexington (KY); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Intake Coordinator for a remote position. The role involves ensuring patient access to medications by managing insurance verifications and authorizations. Candidates should have a high school diploma and at least two years of relevant experience. Comprehensive benefits are offered, including health insurance and a 401K plan.

Benefits

Health, vision, and dental insurance

401K plan with employer match

Vacation package

Long-term disability and life insurance

Remote work opportunities

Growth potential

Qualifications

• Minimum 2 years of experience in customer service, medical billing, or related fields.
• Effective communication with patients and physicians.
• Proficiency in English (listening, speaking, reading, writing).

Responsibilities

• Provide patient access to medications and therapies by verifying insurance eligibility.
• Conduct comprehensive benefit investigations for new patient referrals.
• Document all interactions and requests in the patient’s clinical record.

Skills

Communication

Time Management

Attention to Detail

Problem-Solving

Leadership

Education

High school diploma or GED equivalent

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 are dedicated 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 information, and managing authorizations.

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

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

REQUIRED EDUCATION AND EXPERIENCE:

High school diploma or GED equivalent; minimum 2 years of experience in customer service, medical billing and coding, benefits verification, healthcare, or related fields.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Enter all required demographic, physician, insurance, authorization, and other information into patient profiles.
2. Review incoming faxed prescription orders and attach to patient profiles.
3. Contact patients or physicians to obtain missing information.
4. Conduct comprehensive benefit investigations for new patient referrals, evaluating pharmacy and medical benefit plans.
5. Obtain necessary documentation from physicians for prior authorization submissions.
6. Follow up promptly on authorization requests until approved.
7. Communicate with patients, physicians, and departments regarding benefits and authorization statuses.
8. Notify physicians of denials and discuss appeal options.
9. Update other departments on the status of the intake process.
10. Inform patients/families about coverage and payment responsibilities.
11. Assist patients with financial hardship documentation and utilize manufacturer co-pay cards as appropriate.
12. Document all interactions and requests in the patient’s clinical record.
13. Identify in-network or mandated pharmacy providers when insurance constraints exist and communicate with patients and physicians.
14. Provide leadership, oversight, and training to associates; assist in resolving complex cases.
15. Develop and suggest workflow process improvements and document changes.
16. Participate in meetings and work groups to stay updated on policies and requirements.
17. Train new staff on pharmacy systems, customer service, and workflow processes.
18. Identify deviations from training or processes and address them.
19. Serve as SME for new applications and software upgrades.
20. Promote training and adherence to workflow processes.
21. Ensure compliance with all regulations, policies, and procedures.
22. Maintain quality, productivity, and turnaround standards.
23. Perform other duties as assigned.

PREFERRED EXPERIENCE: Home Infusion Coordination.

QUALIFICATION REQUIREMENTS:

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

Steps to Apply:

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

We are a leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion therapies, including immune globulin therapies. Our services, combined with nursing and care coordination, support physicians and hospitals in delivering superior care for optimal outcomes.

Join our positive, earnest, and hardworking work culture and make an impact!