Infusion Clearance Specialist – Insurance Coordinator

Remote Worldwide Hiring now

Job Description:

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, pre-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 units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality 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:

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