Infusion Access Navigator for Patient Care

Tulea Health; Baltimore (MD); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401K plan with company match

Generous paid time off

Job summary

Tulea Health is seeking an Infusion Navigator to support patients and providers in the ambulatory infusion referral process. You will determine site of care, verify insurance, submit prior authorizations, and coordinate financial assistance.

The role requires collaboration with patients, providers, payers, and the AIC team to ensure timely access to infusion therapy and appropriate care coordination. Advancement opportunities exist as the organization grows.

Qualifications

• High school diploma or GED is required or equivalent.
• Minimum of two years of relevant experience in patient intake, authorization, revenue operations, billing, or a clinical role within a health care facility.
• Access to reliable transportation during work hours.
• Experience with ambulatory infusion center software or electronic medical records preferred.

Responsibilities

• Receive and acknowledge new referrals in a timely manner to support convenient infusion services.
• Provide direct support to patients throughout the referral and treatment process, including outreach for insurance information and reminders.
• Capture and transcribe patient demographics, insurance, and clinical information as needed.
• Perform eligibility checks and benefits investigations to determine coverage and finances.
• Obtain prior authorization or predetermination as required by payer for ambulatory infusion services.
• Coordinate with referral sources for additional clinical information as needed.
• Collaborate on peer-to-peer reviews and appeals as required.
• Identify opportunities for financial assistance and help patients with enrollment.
• Track reauthorizations to prevent delays in therapy.

Education

High school diploma or GED

Job description

Tulea Health is seeking an Infusion Navigator to support patients and providers in the ambulatory infusion referral process. You will determine site of care, verify insurance, submit prior authorizations, and coordinate financial assistance.

The role requires collaboration with patients, providers, payers, and the AIC team to ensure timely access to infusion therapy and appropriate care coordination. Advancement opportunities exist as the organization grows.