About this role
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.
KEY 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.
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.
BENEFITS:
- AOM Infusion recognizes the value of benefits for you and your family, so we offer a comprehensive and competitive benefits program:
- Medical, Dental, Vision, 401(k), Paid Time Off & Paid Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program
- To learn more about our company culture and career opportunities, please visit Careers - AOM Infusion
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