SPECIALTY INFUSION INTAKE COORDINATOR

AIS Healthcare; Minneapolis (MN); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a motivated Intake Coordinator to enhance patient access to medications and therapies. This full-time remote position is crucial for verifying insurance eligibility and ensuring compliance with regulations. The ideal candidate will have strong communication skills and a keen attention to detail, contributing to a culture focused on innovation and quality care. With a commitment to improving lives, this role offers the chance to make a significant impact in the healthcare sector while enjoying a range of benefits, including health insurance and growth opportunities.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

401K with Employer Match

Remote Work

Growth Opportunities

Qualifications

• 2+ years in customer service or healthcare-related fields.
• Knowledge of insurance processes and compliance regulations.

Responsibilities

• Verify insurance eligibility and benefits for patients.
• Document patient interactions and maintain accurate records.
• Communicate with patients and physicians regarding authorizations.

Skills

Insurance Benefit Verification

Customer Service

Medical Billing and Coding

Communication Skills

Time Management

Detail Orientation

Leadership Skills

Education

High School Diploma or GED

Tools

Microsoft Applications

Job description

*Specialty Infusion experience required*

*Experience with Infusion Suite and Centers required*

*Remote position*

Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. With our diverse culture and values around Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We focus on providing quality products and services that enhance the entire care experience.

We are seeking an experienced and motivated Intake Coordinator to join our dynamic team. This full-time role involves providing patient access to medications and therapies by contacting insurance companies and verifying insurance eligibility, benefits, coverage, and authorizations.

The ideal candidate should possess excellent communication and time management skills, a keen eye for detail, in-depth knowledge of insurance benefit verification, and compliance with Federal and State regulations.

Our benefits include health, vision, dental insurance, long-term disability, life insurance, vacation, 401K with employer match, remote work, growth opportunities, and more!

REQUIRED EDUCATION AND EXPERIENCE:

A high school diploma or GED is required, along with at least 2 years of experience in customer service, medical billing and coding, benefits verification, healthcare, or related fields.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Enter all required demographic, physician, insurance, authorization, and other patient information into the profile system.
2. Review incoming faxed prescriptions and attach them to patient profiles.
3. Evaluate patients' preferred site of administration (Infusion Suite vs Infusion Center).
4. Contact patients or physicians to gather missing information.
5. Conduct comprehensive benefit investigations for new patient referrals, evaluating pharmacy and medical benefits.
6. Obtain necessary documentation from physicians for prior authorization submissions.
7. Follow up promptly on authorization requests until approved.
8. Communicate with patients, physicians, and departments regarding benefits and authorization statuses.
9. Inform physicians of denials and discuss appeal options.
10. Update other departments on the intake process status.
11. Notify patients and families about coverage and payment responsibilities.
12. Assist patients with financial hardship paperwork and utilize manufacturer co-pay cards as appropriate.
13. Document all interactions and requests in the patient's clinical record.
14. Identify in-network or mandated pharmacy providers when insurance constraints exist and communicate this information.
15. Provide leadership and guidance to team members; assist with training new staff.
16. Develop and suggest workflow process improvements and document changes.
17. Participate in meetings and workgroups to stay updated on policies and procedures.
18. Train staff on software, customer service, and workflows.
19. Identify deviations from training or processes and address them.
20. Serve as SME for new applications and system upgrades.
21. Promote and coach staff on workflow adherence and process changes.
22. Ensure compliance with all regulations, policies, and best practices.
23. Maintain high standards of quality, productivity, and turnaround times.
24. Perform other duties as assigned.

PREFERRED EXPERIENCE: Home Infusion Coordination

QUALIFICATION REQUIREMENTS:

• Effective communication and professionalism with patients, physicians, and coworkers.
• Proficiency in English (listening, speaking, reading, writing).
• Ability to make decisions, solve problems, and work independently.
• Knowledge of processes, systems, and techniques for successful authorization.
• Ability to identify gaps, determine solutions, and take corrective actions.
• Strong leadership skills.
• Ability to teach and demonstrate interactions effectively.
• Team-oriented and service-focused attitude.
• Attention to detail and accuracy.
• Ability to prioritize and meet deadlines.
• Basic computer skills and proficiency in Microsoft applications.

Steps to Apply:

Complete a Culture Index Assessment to be considered for this role. Your application will not be reviewed without it.

AIS Healthcare leads in providing advanced sterile, patient-specific intrathecal pump medications and in-home infusion services, supporting physicians and hospitals in delivering exceptional care.

We seek impact players who are positive, earnest, and hardworking to join our vibrant work culture.