GI Alliance
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Infusion Intake Specialist II
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GI Alliance . GI Alliance is seeking an experienced Infusion Intake Specialist II. Position purpose:
Review and process infusion services and physician orders in a timely and accurate manner to obtain payment for infusion services. Responsibilities/Duties/Functions/Tasks: Review physician order for Infusion. Verify patient benefits independently and with appropriate manufacturer hub programs. Determine whether practice can buy & bill or if medication needs to be obtained through a Specialty Pharmacy. Assist patient with foundation copay programs, if eligible for reimbursement program. Obtain foundation copay card information once assistance approved. Obtain prior-authorization for infusion services from patients insurance company by calling insurance carrier and/or submitting required forms and medical records via fax or online portal. If Specialty Pharmacy utilized, submit proper paperwork and patient clinical information. Assist in claims payment follow-up involving denials related to authorization or insurance coverage. Communicate necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner. Communicate with patient regarding deductibles, copays, co-insurance, and financial assistance coverage. Alert supervisor of any roadblocks to timely verification, prior authorizations and payment of infusion claims. Provide quality service to patients. Abide by all federal, state, and payer requirements and regulations. Perform other duties as assigned. Qualifications: High School Diploma or GED required; associates degree preferred. 3-5 years of prior infusion intake experience preferred. Intermediate experience (4+ years) and/or acting more independently. Strong and consistent performer. Performance Requirements: Excellent communication skills, both written and verbal. Excellent customer service skills. Proficient in MS Office, especially Word and Excel. Ability to multi-task in a fast-paced environment. Detail-oriented. Strong understanding of healthcare plans and medical benefits. Ability to read and understand payer policies and medical terminology (CPT, ICD 10). Bilingual is a plus. Self-motivated with initiative. Strong ethics. GI Alliance is an Equal Opportunity Employer. All job offers are contingent on a successful pre-employment criminal history check. Applications must be completed in full. No phone calls or agencies, please.
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Infusion Intake Specialist II
role at
GI Alliance . GI Alliance is seeking an experienced Infusion Intake Specialist II. Position purpose:
Review and process infusion services and physician orders in a timely and accurate manner to obtain payment for infusion services. Responsibilities/Duties/Functions/Tasks: Review physician order for Infusion. Verify patient benefits independently and with appropriate manufacturer hub programs. Determine whether practice can buy & bill or if medication needs to be obtained through a Specialty Pharmacy. Assist patient with foundation copay programs, if eligible for reimbursement program. Obtain foundation copay card information once assistance approved. Obtain prior-authorization for infusion services from patients insurance company by calling insurance carrier and/or submitting required forms and medical records via fax or online portal. If Specialty Pharmacy utilized, submit proper paperwork and patient clinical information. Assist in claims payment follow-up involving denials related to authorization or insurance coverage. Communicate necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner. Communicate with patient regarding deductibles, copays, co-insurance, and financial assistance coverage. Alert supervisor of any roadblocks to timely verification, prior authorizations and payment of infusion claims. Provide quality service to patients. Abide by all federal, state, and payer requirements and regulations. Perform other duties as assigned. Qualifications: High School Diploma or GED required; associates degree preferred. 3-5 years of prior infusion intake experience preferred. Intermediate experience (4+ years) and/or acting more independently. Strong and consistent performer. Performance Requirements: Excellent communication skills, both written and verbal. Excellent customer service skills. Proficient in MS Office, especially Word and Excel. Ability to multi-task in a fast-paced environment. Detail-oriented. Strong understanding of healthcare plans and medical benefits. Ability to read and understand payer policies and medical terminology (CPT, ICD 10). Bilingual is a plus. Self-motivated with initiative. Strong ethics. GI Alliance is an Equal Opportunity Employer. All job offers are contingent on a successful pre-employment criminal history check. Applications must be completed in full. No phone calls or agencies, please.
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