Home Infusion Intake Coordinator

AIS Healthcare•Dallas, TX

1d•Remote

About The Position

Advanced Infusion Care, a division of AIS Healthcare, is hiring an experienced Intake Coordinator for a full-time remote position. The role supports patient access to medications and therapies by contacting insurance companies and verifying eligibility, benefits, coverage, and authorization requirements, including initiation and extension of authorizations. The position requires strong communication and time-management skills, careful attention to detail, knowledge of insurance benefit verification, and compliance with federal and state requirements. The Intake Coordinator handles new patient intake and referral documentation, benefit investigations, prior authorizations, and communication with patients, families, physicians, and internal departments. The role also provides guidance and training to associates, supports workflow documentation and process changes, and serves as a subject-matter expert for applications and related processes. Home infusion coordination experience is preferred, and IVIG products are noted as preferred in the posting. Applicants must complete a Culture Index Assessment for their application 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 vocation.
In-depth knowledge of insurance benefit verification.
Strong communication and time-management skills.
High 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 referrals, evaluating pharmacy and medical benefit plans.
Obtain clinical, laboratory, and medical testing documentation from physicians’ offices for prior authorization submissions; follow up promptly until authorization decisions are made.
Communicate benefit information and authorization status to patients, physicians, and other departments; communicate denials and explain peer-to-peer or appeal options to physicians’ offices.
Regularly update Nursing, Pharmacy, Sales, and other departments on intake progress.
Notify patients, families, and referral sources about coverage and payment responsibilities as needed.
Explain and provide Care Support Program paperwork to patients reporting financial hardship, and use manufacturer copay cards when appropriate.
Document progress notes, requests, and conversations in the patient’s clinical record to support coordinated 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; help resolve difficult cases and train new associates.
Suggest and develop documentation for standardized workflow changes and submit it 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.
Train new and existing associates on pharmacy software, supplemental applications, customer service techniques, job responsibilities, and departmental workflows.
Identify deviations from training or processes during normal work activities.
Serve as a subject-matter expert for new applications, software upgrades, work queues, accuracy, and related processes.
Promote training participation and coach associates on new and existing workflows; communicate messages that support change.
Follow regulatory requirements, company policies and procedures, and company best practices.
Meet departmental or program quality, production, and turnaround standards.
Perform other duties as assigned.