Infusion Intake Specialist II

GI Alliance•Southlake, TX

43d

About The Position

GI Alliance is seeking an experienced Infusion Intake Specialist II. Duties of this position include, but are not limited to, the following: Position purpose Review and process infusion services and physician orders in a timely and accurate manner to obtain payment for infusion services.

Requirements

High School Diploma or GED required; associates degree preferred.
3 5 years of prior infusion intake experience is preferred. Prior intake experience related to infusion needed.
Intermediate experience (4+ years experience) and/or acting more independently.
Takes on additional duties to assist the office.
Strong and consistent performer.
Excellent communication skills, both written and verbal.
Excellent customer service skills are required.
Proficient computer skills, including MS Office experience, particularly in MS Word and MS Excel.
Ability to multi-task and work in a fast-paced environment.
Detail-oriented.
Strong understanding of healthcare plans.
Ability to read and understand medical benefits.
Ability to read and understand payer medical policies.
Medical terminology (CPT, ICD 10) knowledge.
Self-motivated with initiative.
Strong sense of ethics.

Nice To Haves

Bilingual is a plus.

Responsibilities

Review physician order for Infusion.
Verify patient benefits independently and with appropriate manufacturer hub programs
Determine whether practice can buy & bill or if medication needs to be obtained through a Specialty Pharmacy.
Assist patient with foundation copay programs, if eligible for reimbursement program
Obtain foundation copay card information once assistance approved
Obtain prior-authorization for infusion services from patients insurance company by calling insurance carrier and/or submitting required forms and medical records via fax or online portal
If Specialty Pharmacy utilized, submit proper paperwork and patient clinical information
Assist in claims payment follow-up involving denials related to authorization or insurance coverage
Communicate necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner
Communicate with patient regarding deductibles, copays, co-insurance, and financial assistance coverage
Alert supervisor of any roadblocks to timely verification, prior authorizations and payment of infusion claims
Provide quality service to patients
Abide by all federal, state, and payer requirements and regulations
Perform other duties as assigned