Home Infusion Intake Coordinator

AIS Healthcare•Dallas, TX

1d•Remote

About The Position

Advanced Infusion Care, a division of AIS Healthcare, is seeking an experienced and motivated Intake Coordinator for a full-time remote position. The role helps patients access needed medications and therapies by verifying insurance eligibility, benefits, and coverage; initiating and extending authorizations; and coordinating with patients, physicians, and internal teams. The coordinator is expected to maintain accurate records, provide timely updates, and comply with applicable federal and state regulations, quality standards, and company procedures. The position also provides technical guidance and training to associates, supports workflow documentation and process changes, serves as a subject matter expert on applications and related processes, and helps maintain departmental quality, production, and turnaround standards. Candidates must complete the specified Culture Index Assessment to be considered.

Requirements

High school diploma or GED equivalent.
At least 2 years of experience in customer service, medical billing and coding, benefits verification, healthcare, or a similar field.
In-depth knowledge of insurance benefit verification.
Strong communication and time-management skills.
Exceptional attention to detail and accuracy.
Ability to work in compliance with federal and state rules and regulations.
Completion of the Culture Index Assessment is required for consideration.

Nice To Haves

Home Infusion Coordination experience.
Home Infusion experience; IVIG products preferred.

Responsibilities

Enter demographic, physician, insurance, authorization, and other required information into profiles for new patients.
Review incoming faxed prescription orders and attach them to new or existing patient profiles.
Contact patients or physicians to obtain missing information.
Conduct comprehensive benefit investigations for new patient referrals and evaluate pharmacy and medical benefit plans.
Obtain clinical, lab, and medical testing documentation from physicians’ offices for prior authorization submissions.
Follow up on authorization requests through the process until approval.
Communicate benefit information and authorization status to patients, physicians, and other departments.
Communicate denials to physicians’ offices and provide information about peer-to-peer or appeal options.
Regularly update Nursing, Pharmacy, Sales, and other departments on intake progress.
Notify patients, families, and referral sources about coverage and payment responsibilities as needed.
Provide Care Support Program information and paperwork to patients who express financial hardship, and use manufacturer co-pay cards as appropriate.
Document requests, conversations, and progress notes in patients’ clinical records to support continuity of care.
Identify in-network or mandated pharmacy providers when insurance constraints prevent service, communicate relevant information, and triage referrals as directed.
Provide leadership, oversight, and technical guidance to associates and help resolve difficult cases.
Train new and existing associates on pharmacy software, supplemental applications, customer service, job responsibilities, and departmental workflows.
Suggest and develop documentation for workflow standardization and submit changes for approval; help document authorized process changes in Job Aids.
Participate in meetings and work groups to coordinate activities, communicate issues, obtain approvals, resolve problems, and stay informed about developments, requirements, and policies.
Identify deviations from training or processes, serve as a subject matter expert for applications, software upgrades, work queues, and accuracy, and coach associates on workflows.
Promote training participation and communicate changes.
Comply with regulatory requirements, policies, procedures, and company best practices, and meet applicable quality, production, and turnaround standards.
Perform other duties as assigned.