Patient Financial Coordinator-Infusion/Inject (30 hours/wk.)
About The Position
The Patient Financial Coordinator facilitates patient access to infusion and injectable medications and therapies. The role verifies patient, insurance, medication-start, treatment-order, clinical, and authorization information; investigates benefits for new referrals; and helps identify mandated pharmacy providers when insurance constraints prevent service. The coordinator contacts new patients before treatment to explain financial policies, benefits, copay assistance, and other treatment obligations, and enrolls patients in applicable care-support, copay-assistance, and free-drug programs. The position coordinates with the Infusion Scheduler to initiate first treatment dates and appointments, follows up with patients in a timely manner, and communicates intake status to other departments, including nursing. It may also involve suggesting and documenting standardized workflow changes for approval. The coordinator complies with regulatory requirements, company policies, procedures, and best practices, and performs other duties as assigned. This is a 30-hour-per-week role based in a medical office facility. Workdays are Monday through Friday, with varying hours between 8:00 a.m. and 4:30 p.m. Remote work may be suitable at the supervisor's discretion.
Requirements
- Associate degree, preferably in healthcare administration or a related field.
- Experience with health insurance guidelines, programs, and plans; patient and copay-assistance programs; and Medicare and Medicaid health plans.
- Ability to find new programs to assist patients.
- Knowledge of basic accounting principles and patient billing procedures.
- Ability to teach and demonstrate appropriate interactions with patients and prescribers in an understandable way that supports interactive learning.
- Ability to organize and prioritize multiple tasks, meet established deadlines, and consistently meet or exceed benchmarks.
- Demonstrated strong work ethic and attention to detail, accuracy, and quality.
- Strong organizational and time-management skills.
- Basic computer proficiency and knowledge of Microsoft applications.
Nice To Haves
- Minimum two years of infusion intake or prior authorization experience.
Responsibilities
- Verify that required patient demographic, insurance, and medication-start forms are accurate.
- Validate treatment orders for medication and accompanying testing.
- Verify that clinical and authorization requirements are complete before treatment.
- Conduct benefit investigations for new patient referrals.
- Identify mandated pharmacy providers when insurance constraints prevent the organization from servicing a patient.
- Contact new-start patients before treatment to review financial policy, benefits, patient copay assistance, and other treatment obligations.
- Enroll patients in applicable care-support, patient copay-assistance, and free-drug programs.
- Follow up with patients in a timely manner.
- Communicate with the Infusion Scheduler to initiate the first treatment date and coordinate appointments.
- Regularly communicate intake-process status to other departments, including nursing.
- Suggest and develop documentation for standardized workflow process changes and submit it for approval.
- Comply with applicable regulatory requirements, policies, procedures, and company best practices.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
