Insurance Coordinator

AOM INFUSION; United States; Remote; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k)

Paid Time Off

Job summary

AOM Infusion is seeking an Insurance Coordinator to ensure patients' insurance covers prescribed therapies. You will initiate authorizations, coordinate with carriers, and work with the pharmacy, nursing, and billing teams to manage insurance benefits remotely in the United States.

The role requires 2–4 years in insurance reimbursement and 1–2 years in home infusion reimbursement, with strong communication and organizational skills. A comprehensive benefits package is offered.

Qualifications

• 2–4 years of experience in insurance reimbursement.
• 1–2 years of experience in home care/home infusion reimbursement.
• Strong understanding of different insurance plan types.
• Good communication, organizational, and self-motivated work ethic.

Responsibilities

• Verify patient insurance coverage for prescribed therapy.
• Obtain authorizations and pre-certifications from carriers.
• Coordinate with pharmacy, nursing, and billing on insurance benefits.
• Participate in patient rounds to assess ongoing care needs.
• Track authorizations and reauthorizations as needed.
• Gather required clinical documentation or letters of medical necessity.
• Enter data into the Specialty Pharmacy BO system and prepare start of care documents.
• Counsel patients on financial responsibilities and collect balances as applicable.
• Assist Intake Manager & Senior Management on other projects.

Skills

Insurance reimbursement

Communication skills

Organizational skills

Self-motivated

Education

High School Diploma or Equivalent

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Coordinator

United States Remote

Salary Range: $20.00 To $27.00 Hourly

AOM Infusion is a leading provider of home and specialty infusion therapy, dedicated to delivering high-quality, patient-centered care across the communities we serve. Our team of experienced clinicians and professionals work together to ensure every patient receives safe, compassionate, and personalized treatment.

POSTION OVERVIEW:

AOM Infusion is looking for an Insurance Coordinator to join our team. The Insurance Coordinator ensures that the patients' insurance covers treatment. Initiates and secures authorizations, pre-certifications, and/or predeterminations. Has excellent interpersonal skills and can successfully communicate with referral sources, sales staff, insurance carriers and operations team.

KEY RESPONSIBILITIES:

• Contact the patient’s insurance carrier to verify coverage for prescribed therapy.
• Obtain authorization for services from the patient’s insurance carrier.
• Communicate with the pharmacy, nursing department, and billing departments regarding the patient’s insurance benefits. Submit insurance verification form and authorizations.
• Participate in patient rounds daily to determine the ongoing care needs of the patients.
• Track authorizations and obtain reauthorizations as needed.
• Obtain necessary clinical documentation and/or physician’s letter of medical necessity as required by the patient’s insurance carrier.
• Complete data entry in Specialty Pharmacy Business Operating system.
• Prepare patient start of care documentation.
• Financial counsel patient and/or patient representative.
• Assist in upfront collection of patient balances, deductibles, and coinsurance amounts.
• Electronic storage of all patient information including e-mails in Electronic Document Management system.
• Assist in any other project given by Intake Manager & Senior Management.

REQUIREMENTS:

• High School Diploma or Equivalent
• 2 to 4 years experience in insurance reimbursement
• 1 to 2 years experience in home care/home infusion reimbursement.
• A strong understanding of the different types of insurance plans
• Good communication skills, organizational skills and self-motivated worker.

BENEFITS:

• AOM Infusion recognizes the value of benefits for you and your family, so we offer a comprehensive and competitive benefits program:
• Medical, Dental, Vision, 401(k), Paid Time Off & Paid Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program