Infusion Benefits Coordinator I

Arthritis and Rheumatism Associates, PC; Chevy Chase (MD); On-site; USD 28,000 - 40,000; Full time

Benefits offered by this job

Health/Dental/Vision Insurance

FSA

HSA

Life Insurance

401K Contributions

Disability Insurance

Paid Time Off

Tuition Assistance

Paid Maternity and Paternity Leave

STD/LTD/ADD Insurance (short-term and

Job summary

Arthritis and Rheumatism Associates, PC in Chevy Chase, MD is seeking an Infusion Benefits Coordinator for a 4-day work week. This temp-to-hire role focuses on coordinating infusion benefits, verifying prior authorizations, and counseling patients on financial responsibilities for infusion services.

The position requires interaction with physicians, staff, and patients, plus scheduling and insurance follow-ups.

Qualifications

• Experience coordinating infusion benefits and prior authorizations.
• Ability to counsel patients on financial responsibilities and copay assistance.
• Strong schedule coordination and communication skills.

Responsibilities

• Interact with practice staff, physicians and patients as required.
• Investigate and coordinate infusion benefits and options.
• Verify orders, referrals, and prior authorizations before infusion.
• Calculate patient financial responsibility estimates for infusion services.
• Counsel patients on benefit findings and enrollment in assistance programs.
• Schedule initial and follow-up infusion appointments, labs and DEXA scans.
• Update insurance in the EHR and create appointment alerts.

Tools

ReferralMD

NextGen EPM

EHR

Job description

Job Title

Infusion Benefits Coordinator - Temp to Hire

Location

Chevy Chase, MD

Hours

4 DAY WORK WEEK - Monday - Thursday (Full-Time)

Pay

$25/hr

FREE PARKING AT ALL 7 OFFICE LOCATIONS!

Benefits Offered After 90 Day Temp Period

• Health/Dental/Vision Insurance
• FSA
• HSA
• Life Insurance
• 401K Contributions
• Disability Insurance
• Paid Time Off
• Tuition Assistance
• Paid Maternity and Paternity Leave
• STD/LTD/ADD Insurance (short-term disability, long-term disability and accidental death and dismemberment insurance)

Summary

Join us at Arthritis and Rheumatism Associates! We are a dynamic and creative team who are leading the way in healthcare innovation as we set the standard on optimum patient care. We offer competitive pay and excellent work-life balance with our 4-day work week (closed Fridays).

General Summary Of Duties

Interaction with practice business associates, physicians and patients as required. Investigate and coordinate all patient infusion benefits and options. Verify that infusion orders, referrals, and/or prior authorizations are obtained prior to infusion treatments. Calculate patient financial responsibility estimates for infusion services that will be administered. Counsel patients on the findings from our benefit investigations. Assist patients with enrollment to copay assistance programs. Update and verify new insurances when required. Schedule all initial infusion appointments and set appointment alerts for check-in/out staff. Schedule follow-up infusions, office visits, labs, and DEXA’s when necessary.

Supervision Received

Reports to the Infusion Benefits Manager

Supervision Exercised

None

Typical Working Conditions

Normal office environment

Typical Physical Demands

Requires sitting for long periods of time. Requires eyesight that is correctable to 20/20. Some bending, lifting, and stretching required. Working under stress and deadlines. Frequent use of telephone and computers required. Manual dexterity required for use of calculator, computer, and other common office equipment/machines. Good oral and written communication skills required.

Examples of Duties

(This list may not include all the duties assigned)

• Stay up to date on all infusion drugs used and the respective pharmaceutical companies and their assistance programs.
• Stay up to date on all accepted insurances.
• Review and accepts order assignments in ReferralMD.
• Update order statuses in ReferralMD and document any needed conversations or events.
• Verify that the drug ordered in EHR is the same drug that is preauthorized, in the OOP alert, and in the appointment book.
• Call insurance carriers for eligibility and benefit verification.
• Submit for prior authorization or predetermination to payers when needed.
• Enter authorizations under the insurance in EPM and create authorization alerts in the patient chart.
• Place yearly alerts with benefits information obtained in the investigation.
• Assist patients with their enrollment to assistance programs.
• Schedule/Cancel/Reschedule infusion, doctors, labs, and DEXA appointments in NextGen EPM.
• Review scheduled appointments and create out-of-pocket alerts and counsel patients when needed.
• When creating OOPs, review and counsel the patient any financial balances and include them in the amount to be collected.
• Document all information on Pre-Infusion log and scan completed paperwork to the patient’s chart. Use the Pre-Infusion Checklist to also generate BI log documents in EHR.
• Email physicians to provide updates on any delays with scheduling.
• Assist Business Office with:
  • Following up on infusion appeals
  • Accounts for indigent infusion patients
  • Infusion billing errors
  • Billing inquiries
• Become familiar and utilize ICD-10 and CPT coding to maximize infusion functions and assist the reimbursement processes.
• Arrange the delivery for free and specialty pharmacy drugs when needed.
• Assist with incoming phone calls to the Arise mainline when possible.
• Handle infusion problem accounts and/or patients to resolution.
• Participate in educational activities.
• Other Duties as Assigned: The assignment of duties to employees is not limited to the content of this job description. Other tasks and assignments may be related to the work usually assigned to the employee, but in some circumstances may be completely unrelated.