Infusion Authorization & Benefits Coordinator

The Center for Rheumatology, LLP.; City of Albany (NY); On-site; USD 40,000 - 55,000; Full time

Job summary

The Center for Rheumatology, LLP. is seeking an Infusion Authorization Coordinator (IAC) in Albany, NY. This role is crucial for ensuring patients receive their prescribed treatments while navigating financial authorizations. The IAC will handle patient communications regarding costs, collaborate with the pharmacy department for necessary information, and ensure all documentation is accurately maintained.

Applicants should possess a high school diploma and at least 2 years of relevant experience in infusion authorization or medical billing. Strong knowledge of insurance and prior authorization workflows is required.

Qualifications

• 2 years relevant experience in infusion authorization or billing.
• Experience with medical insurance and/or medical billing.

Responsibilities

• Inform patients of financial costs and practice payment policies.
• Work with pharmacy for medical necessity information.
• Complete documentation in patient records and authorization software.
• Run reports for infusion appointments to determine eligibility.
• Enroll patients into Co-Pay assistance programs.

Skills

Knowledge of insurances, drug formularies

Prior authorization workflows

Insurance benefits

ICD and CPT codes

Communication skills

Benefit investigation

Education

High school diploma or GED equivalent

Job description

The Center for Rheumatology, LLP. is seeking an Infusion Authorization Coordinator (IAC) in Albany, NY. This role is crucial for ensuring patients receive their prescribed treatments while navigating financial authorizations. The IAC will handle patient communications regarding costs, collaborate with the pharmacy department for necessary information, and ensure all documentation is accurately maintained.

Applicants should possess a high school diploma and at least 2 years of relevant experience in infusion authorization or medical billing. Strong knowledge of insurance and prior authorization workflows is required.