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 Apply tot his job Apply To this Job