Intake Coordinator-Acute

Infucare Rx Inc On Behalf Of Itself And Its Subsidiaries•West Palm Beach, FL

About The Position

InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team oriented, and quality work environment for our employees that cultivates achievement and success. Job Summary: The Intake Coordinator will facilitate all phases of intake to include benefits verification, authorization, and patient financial counseling while coordinating needed interaction with Caregivers, Physicians, and other internal/external stakeholders during the execution of these functions. This person will collaborate with the healthcare team to provide exceptional value to our customers.

Requirements

High School diploma or equivalent. A college degree is preferred.
Minimum of (2) years of experience as an Intake Authorization Coordinator.
Excellent Communication skills including reading, writing, and speaking to effectively handle position responsibilities.
Proficiency with Microsoft Office suite products.

Nice To Haves

Experience working in an acute or specialty infusion pharmacy.
Experience with CPR+ Pharmacy Management System.

Responsibilities

Must be experienced with insurance coverage for infusion, specific health plans, and have familiarity with key requirements necessary for accurate benefit checks and authorizations.
Able to accurately identify guidelines, coverage rules, and obtain prior authorization as well as certificates of medical necessity when needed.
Have experience with Pharmacy management software for infusion.
Ability to maintain accurate and complete records.
Communicates and resolves problems with patients/customers, physicians’ offices, referral sources, third party insurance companies, Medicaid, and Medicare.
Proven track record and ability to work with reporting to follow up on prior authorizations.
Ability to assess what is needed and work effectively with all members of the Infusion Team including Pharmacists, Nurses, IV Pharmacy Technician, and Drivers to accomplish goal.
Team player willing to assist with office duties like filing, putting together charts and other duties as assigned.
Assists with answering and directing phone calls.
Ability to work effectively with revenue team to maximize billing and collection of insurance claim receivables.
Desire to educate themselves on the scope of services that are available through company and understand basic drug terminology and therapies/services provided.
Actively support company mission, organizational/departmental policies, and procedures.
Presents a professional appearance and approach with members & other employees; demonstrates honest and ethical behavior.
Handles member and employee info with appropriate sensitivity and safeguards to ensure confidentiality and right to privacy, in compliance with HIPAA regulatory requirements.
Contributes to the effectiveness of the team by working together by supporting, promoting and applying the best practice standards of conduct including those on attendance, mutual respect and support, honoring diversity, effective communication, and improving the work environment.
Exhibits flexibility when work assignments need to be adjusted to meet service, delivery and workload needs of team.
Takes initiative to identify, develop and adapt new policies and practices to improve quality of work.
Performs other related duties as assigned by management.
Maintain confidentiality of patient and proprietary information at all times
Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary company information
Understand and comply with HIPPA
For all activities complies with accreditation, legal, regulatory, government and safety requirements