Home Infusion Intake Coordinator

AIS Healthcare; North Miami (FL); Remote; USD 40,000 - 60,000; Full time

Job summary

AIS Healthcare is seeking a Home Infusion Intake Coordinator to join their team. This full-time remote role involves providing patient access to necessary medications by verifying insurance coverage and coordinating authorizations. Ideal candidates will have strong communication skills and experience in healthcare or customer service.

Benefits

Health, vision, and dental insurance

401K plan with employer match

Remote work opportunity

Vacation package

Qualifications

• Minimum 2 years’ experience in customer service, medical billing, or healthcare.
• In-depth knowledge of insurance benefit verification.
• Ability to work in compliance with Federal and State regulations.

Responsibilities

• Provide patient access to medication by verifying insurance eligibility.
• Conduct comprehensive benefit investigations for new patient referrals.
• Communicate with patients and physicians regarding benefits and authorizations.

Skills

Communication

Attention to detail

Problem-solving

Education

High school diploma or GED

Tools

Microsoft applications

Job description

Join to apply for the Home Infusion Intake Coordinator role at AIS Healthcare

2 days ago Be among the first 25 applicants

Join to apply for the Home Infusion Intake Coordinator role at AIS Healthcare

*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 general education degree (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 update other departments, including Nursing, Pharmacy, and Sales, on the status of the intake process.
• 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 care coordination.
• Identify in-network or mandated pharmacy providers if insurance constraints prevent service, and communicate related information to patients and physicians.
• Provide leadership, oversight, and technical guidance to associates, and assist in resolving difficult cases. Train new associates.
• Develop and suggest documentation to standardize workflow processes and assist with process change documentation.
• Participate in meetings and work groups to communicate issues, obtain approvals, and stay updated on new policies.
• Train new and existing staff on pharmacy software, customer service, and departmental workflows.
• Identify deviations from training or processes during work activities.
• Serve as SME for new applications, software upgrades, and related processes.
• Promote training participation and coach staff on workflow processes.
• Ensure compliance with all regulatory and company policies and procedures.
• Maintain quality, productivity, and turnaround standards.
• 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.
• Decision-making, problem-solving, and independent working skills.
• Knowledge of authorization processes, systems, and techniques.
• Ability to identify gaps and implement solutions effectively.
• Leadership skills.
• Ability to teach and demonstrate interactions with patients and prescribers.
• Team-oriented and service-focused mindset.
• Attention to detail and accuracy.
• Prioritization and deadline management skills.
• Basic computer skills and Microsoft application knowledge.

Steps To Apply

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

Visit: portal.cultureindex.com/public/survey/general/0BFB8F0000

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