Infusion Biologics Coordinator
About The Position
Under the direction of the Manager of Infusion, the Infusion Biologics Coordinator serves as a liaison among patients, clinical staff, insurance companies, and manufacturer companies. The role supports biologic therapy access and reimbursement by conducting benefits investigations, obtaining authorizations, enrolling patients in copay assistance, reviewing schedules, and assisting with claims submitted to third-party payors that have not been fully adjudicated or have been denied. The coordinator communicates clearly and supports patient education regarding biologic therapies while helping maximize reimbursement through programs that fund or provide infusion medications. This is a full-time hybrid position, Monday through Friday, with a fixed schedule determined by ADH’s needs.
Requirements
- High-school diploma or GED.
- Two years of experience in a large medical practice, specialty pharmacy, outpatient infusion center, or hospital performing similar tasks; preferably in infusion therapy or biologics coordination.
- Knowledge of third-party insurance authorization and billing practices.
- Knowledge of internal billing structure and billing procedures.
- Experience with patient assistance programs.
- Proficiency with an electronic medical records (EMR) system and scheduling software.
- Proficiency with Microsoft Office products, including Word and Excel.
- Extremely detail-oriented, with the ability to read and comprehend insurance policies and carrier protocols to ensure compliance.
- Basic understanding of CPT and ICD coding and rudimentary medical terminology.
- Excellent judgment and decision-making, problem-solving, and organizational skills.
- Reliability, accuracy, and efficiency when dealing with patients or third-party payors.
- Excellent verbal and written communication skills.
- Ability to use good judgment in highly emotional and demanding situations and react to frequent changes in duties and workload.
- Ability to manage multiple tasks efficiently and promote teamwork through effective interpersonal skills.
- Ability to maintain confidentiality of sensitive information.
Nice To Haves
- Associate degree or higher in health sciences or a related field.
- Experience in infusion therapy or biologics coordination.
Responsibilities
- Perform tasks to verify medical benefits and insurance eligibility, and determine whether insurance-carrier referrals are required.
- Ensure necessary prior authorizations are obtained before a patient arrives for a scheduled procedure.
- Collaborate with healthcare providers to verify treatment plans, obtain authorizations, and ensure compliance with clinical protocols.
- Communicate in a timely manner with patients, staff, administrators, and operations management.
- Assist with reviewing patient claims submitted to third-party payors that have not been fully adjudicated or have been denied.
- Enroll patients in copay assistance and support patient education regarding biologic therapies.
- Help maximize reimbursement through programs that provide funding or infusion medications.
- Perform other duties as required.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Time-off benefits
- Employee Assistance Program (EAP)
- 401(k)
- Commuter benefits
- Voluntary benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
