GI Alliance
Infusion Intake Specialist II – 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
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 patient’s 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; associate’s degree preferred. 3–5 years of prior infusion intake experience required. Prior intake experience related to infusion is essential. Level II Status Requirements
Intermediate experience (4+ years) and/or ability to act more independently. Takes on additional duties to assist the office. Consistent strong performer. Performance Requirements
Excellent communication skills, both written and verbal. Excellent customer service skills. Proficient in Microsoft Office (Word, Excel). Ability to multi‑task and work in a fast‑paced environment. Detail‑oriented. Strong understanding of healthcare plans and payer medical policies. Ability to read and understand medical benefits and payer medical policies. Bilingual a plus. Knowledge of medical terminology (CPT, ICD‑10). Self‑motivated with initiative. Strong sense of ethics. GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff, and patients. Please note: All job offers are contingent on the successful completion of a pre‑employment criminal history check. EEO/AA-M/F/disabled/protected veteran.
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Review and process infusion services and physician orders in a timely and accurate manner to obtain payment for infusion services. Responsibilities
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 patient’s 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; associate’s degree preferred. 3–5 years of prior infusion intake experience required. Prior intake experience related to infusion is essential. Level II Status Requirements
Intermediate experience (4+ years) and/or ability to act more independently. Takes on additional duties to assist the office. Consistent strong performer. Performance Requirements
Excellent communication skills, both written and verbal. Excellent customer service skills. Proficient in Microsoft Office (Word, Excel). Ability to multi‑task and work in a fast‑paced environment. Detail‑oriented. Strong understanding of healthcare plans and payer medical policies. Ability to read and understand medical benefits and payer medical policies. Bilingual a plus. Knowledge of medical terminology (CPT, ICD‑10). Self‑motivated with initiative. Strong sense of ethics. GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff, and patients. Please note: All job offers are contingent on the successful completion of a pre‑employment criminal history check. EEO/AA-M/F/disabled/protected veteran.
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