Insurance Coordinator

AOM INFUSIONArlington, TX
16h

About The Position

AOM Infusion is a leading provider of home and specialty infusion therapy, dedicated to delivering high-quality, patient-centered care across the communities we serve. Our team of experienced clinicians and professionals work together to ensure every patient receives safe, compassionate, and personalized treatment. POSTION OVERVIEW: 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
  • Employee Referral Program
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