Role Description 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
• Facilitating communication between patients, healthcare providers, and insurance companies
• 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 contributing to the efficient delivery of essential healthcare services and making a significant impact on patient outcomes.

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 skills

Requirements

• Bachelor’s Degree (preferred)
• Bilingual (English/Spanish) strongly preferred but not required
• Prior experience in Rheumatology (preferred)
• Experience with NextGen and Availity software (preferred)
• 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

• Requesting, receiving, and inputting incoming prior authorizations, patient information, and eligibility data accurately and timely into the Electronic Medical Records (EMR) system
• Viewing requests and clinical packets to ensure all necessary information is included and accurate
• Scrubbing schedules to ensure patients have complete and necessary insurance and claims information
• Verifying all diagnosis codes for accuracy and reimbursement/payables eligibility
• Performing insurance benefit verification and prior authorization for each patient
• Maintaining prior authorization and pre-determination communications regarding status
• Maintaining the online share file so all information is entered and current
• Enrolling patients with Pharmaceutical Copay Assist Programs per eligibility requirements
• Communicating financial policies to patients accurately
• Monitoring the daily infusion schedule and scheduling patients accordingly
• Completing accurate and timely data entry of patient insurance verification/authorization forms and demographic information into the EMR system
• Assisting Lead in investigating denial claims as needed
• Maintaining a high level of constant attention to detail, critical thinking, and problem solving
• Other duties as assigned

Skills The required skills for this position include:

• Strong organizational abilities
• Attention to detail
• Effective communication skills
• Proficiency in using computer systems and software
• Familiarity with EHR systems (preferred)
• Problem-solving skills

These skills contribute to a smooth and efficient patient experience, ensuring that individuals receive the care they need in a timely manner.