Insurance Coordinator

AMERICAN OUTCOMES MANAGEMENT dba AOM INFUSION • Arlington, TX

89d

About The Position

AOM Infusion is looking for an Insurance Coordinator to join our team. The Insurance Coordinator ensures that the patients' insurance covers treatment. Initiates and secures authorizations, pre-certifications, and/or predeterminations. Has excellent interpersonal skills and can successfully communicate with referral sources, sales staff, insurance carriers and operations team.

Requirements

• High School Diploma or Equivalent
• 2 to 4 years experience in insurance reimbursement
• 1 to 2 years experience in home care/home infusion reimbursement.
• A strong understanding of the different types of insurance plans
• Good communication skills, organizational skills and self-motivated worker.
• Computer literate.

Responsibilities

• Contact the patient’s insurance carrier to verify coverage for prescribed therapy.
• Obtain authorization for services from the patient’s insurance carrier.
• Communicate with the pharmacy, nursing department, and billing departments regarding the patient’s insurance benefits. Submit insurance verification form and authorizations.
• Participate in patient rounds daily to determine the ongoing care needs of the patients.
• Track authorizations and obtain reauthorizations as needed.
• Obtain necessary clinical documentation and/or physician’s letter of medical necessity as required by the patient’s insurance carrier.
• Complete data entry in Specialty Pharmacy Business Operating system.
• Prepare patient start of care documentation.
• Financial counsel patient and/or patient representative.
• Assist in upfront collection of patient balances, deductibles, and coinsurance amounts.
• Electronic storage of all patient information including e-mails in Electronic Document Management system.
• Assist in any other project given by Intake Manager & Senior Management.

Benefits

• Medical, Dental, Vision, 401(k) with Employer Match up to 10%, Paid Time Off & Paid Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 51-100 employees