Infusion Intake Coordinator I

Pinnacle Healthcare Consulting; Indianapolis (IN); On-site; USD 40,000 - 60,000; Full time

Job summary

Pinnacle Healthcare Consulting is seeking an Infusion Intake Coordinator I in Indianapolis, IN. This role ensures patients receive timely infusion therapy services by coordinating intake processes, verifying insurance details, and facilitating communication between patients and healthcare providers.

The ideal candidate will have an associate's degree and 2 years of experience in customer service, along with strong organizational and communication skills. Knowledge of EMR systems is a plus.

Qualifications

• Associate's degree with 2 years of experience in a customer service role.
• Knowledge of insurance prior authorizations and coverage.
• Experience in a healthcare setting, preferably in patient intake.

Responsibilities

• Request and input patient info and eligibility data into EMR system.
• Verify all diagnosis codes for accuracy.
• Monitor the daily infusion schedule and schedule patients.

Skills

Organizational abilities

Attention to detail

Effective communication skills

Proficient in Microsoft Office Suite

Problem-solving skills

Education

Associate's degree

Bachelor’s Degree (preferred)

Tools

NextGen

Availity

Job description

Overview

The Infusion Intake Coordinator I plays a crucial role in the healthcare system by ensuring that patients receive timely and accurate infusion therapy services. This position involves coordinating patient intake processes, verifying insurance information, and facilitating communication between patients, healthcare providers, and insurance companies. The coordinator will be responsible for maintaining detailed records and ensuring compliance with healthcare regulations. By effectively managing the intake process, the coordinator helps to streamline patient care and improve overall patient satisfaction. Ultimately, this role contributes to the efficient delivery of essential healthcare services, making a significant impact on patient outcomes.

Minimum Qualifications

• Associate's degree with 2 years or any combination of education and work experience in a customer service-related role.
• Prior experience obtaining insurance prior authorizations, pre-determinations, pre-certifications and an understanding of insurance coverages and participation.
• Previous experience in a healthcare setting, preferably in patient intake or coordination.
• Previous experience working in a medical/clinical setting.
• HIPAA compliance regarding PHI.
• Working knowledge of computers, internet access, and the ability to navigate within Microsoft Office Suite, or similar programs.
• Demonstrated excellent verbal and written communication skills.
• Excellent phone and written communication skills.

Preferred Qualifications

• Bachelor’s Degree.
• Bilingual (English/Spanish) strongly preferred but not required.
• Prior experience in Rheumatology.
• Experience with NextGen and Availity software.
• High degree of ownership, attention to detail, and trustworthiness required.
• Able to work in a high volume/fast-paced environment.
• Ability to work successfully within a team-oriented atmosphere.

Responsibilities

• Responsible for requesting, receiving and inputting incoming prior authorizations, patient information, and eligibility data accurately and timely into the Electronic Medical Records (EMR) system.
• Responsible for viewing requests and clinical packets to ensure all necessary information is included and accurate.
• Responsible for scrubbing schedules to ensure patients have complete and necessary insurance and claims information to complete the process.
• Verifies all diagnosis codes for accuracy and to ensure they meet reimbursement/payables eligibility.
• Performs insurance benefit verification and prior authorization for each patient and secures pre-determinations if prior authorizations have not been obtained.
• Responsible for maintaining prior authorization and pre-determination communications regarding status/receiving request and submitting appeal and peer-to-peer letters.
• Responsible for maintaining the online share file so all information is entered and current and accurate.
• Enrolls patients with Pharmaceutical Copay Assist Programs per eligibility requirements.
• Responsible for the accurate communication of financial policies to patients.
• Monitors the daily infusion schedule and schedules patients accordingly.
• Responsible for the complete, accurate and timely data entry of patient insurance verification/authorization forms and demographic information into the EMR system.
• Responsible to assist Lead in investigating denial claims as needed.
• Responsible for maintaining a high level of constant attention to detail, critical thinking and problem solving, to resolve issues as they arise.
• Other duties as assigned.

Skills

The required skills for this position include strong organizational abilities, attention to detail, and effective communication skills, which are essential for managing patient information and coordinating with various stakeholders. Proficiency in using computer systems and software is necessary for maintaining accurate records and processing insurance claims. Preferred skills such as familiarity with EHR systems enhance the coordinator's ability to streamline workflows and improve data management. Additionally, problem-solving skills are vital for addressing any issues that may arise during the intake process. Overall, these skills contribute to a smooth and efficient patient experience, ensuring that individuals receive the care they need in a timely manner.