Speciality Pharmacy Intake Coordinator

AleraCare • Los Angeles, CA

7d

About The Position

Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services
Job Description: ​
Job Responsibilities
Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
Creates documentation required to service the patient per policy and payer guidelines.
Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.
Order entry
Calls patients and prescriber offices to schedule deliveries
Crosstraining in home infusion intake

Requirements

• High school diploma
• Experience establishing and maintaining relationships with individuals at all levels of the organization.
• Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction.
• Basic PC skills including email, Microsoft Word, Excel and PowerPoint.
• Experience in identifying operational issues and recommending process improvements.
• Strong communication skills to speak with external service providers and internally with the AleraCare team to coordinate services.
• Strong organizational skills.

Nice To Haves

• Pharmacy technician license issued by the California State Board of Pharmacy
• Prior experience in home infusion intake/specialty intake coordination
• Previous Infusion Medical Billing/Collections or Intake/Admissions Experience

Responsibilities

• Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
• Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Creates documentation required to service the patient per policy and payer guidelines.
• Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
• Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
• Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.
• Order entry
• Calls patients and prescriber offices to schedule deliveries
• Crosstraining in home infusion intake

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees