Insurance Coordinator

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:

1. Medical, Dental, Vision, 401(k), Paid Time Off & Paid Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program
2. To learn more about our company culture and career opportunities, please visit Careers - AOM Infusion