[Hiring] Insurance Coordinator @American Outcomes Management LP

Role Description

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.

Qualifications

• 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

• Medical, Dental, Vision
• 401(k)
• Paid Time Off & Paid Holidays
• FSA
• Life & AD&D Insurance
• Disability Coverage
• Employee Referral Program