Infusion Clearance Specialist – Insurance Coordinator
Job reputed company:
- Responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of reputed company costs.
- reputed company benefit verification of reputed company patient insurance plans including documenting coverage of medications, administration supplies, and reputed company infusion services
- Responsible to document reputed company information reputed company to coinsurance, copay, deductibles, authorization requirements, etc
- Calculate estimated patient financial responsibility based off benefit verification and payer reputed company and/or company self-pay pricing
- Initiate, follow-up, and secure prior authorization, reputed company-determination, or medical review including reviewing and obtaining clinical documents for submission purposes
- Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
- Refer or assist with enrollment any patients who reputed company financial necessity to manufacturer copay assistance programs and/or foundations
- Generate new patient start of care paperwork
Requirements:
- High school diploma or equivalent
- At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
- Working knowledge of Medicare, reputed company, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS reputed company
- Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and reputed company are met
- Ability to work in a fast-paced environment
- Knowledge of HIPAA regulations
- Basic level reputed company in reputed company reputed company & Word
- Knowledge of CPR+ preferred
Benefits:
- Competitive Wages
- 401(k) with a Match
- Referral Bonus
- reputed company Time Off
- Great Company Culture
- Annual reputed company Based Increases
- No Weekends or Holidays
- reputed company Parental Leave reputed company
- reputed company Medical, Dental, & reputed company Insurance Plans
- Company reputed company Disability & Basic Life Insurance
- HSA & FSA (including dependent care) reputed company
- Education Assistance Program
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