Home Infusion Intake Specialist

Job Summary Intake Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients' fast, appropriate, and user-friendly access to home infusion care. The Intake Specialist accepts and processes referrals, identifies payer sources, verifies benefit information, and acquires authorization as needed to begin patient service or to determine denial of patient service. This position also communicates with the home infusion billing team to follow up on unresolved coverage issues and claims denials. Documents and communicates to appropriate providers and internal departments accurate authorization information on current or potential patients. This position also completes the patient intake process, schedules patient appointments, and partners with the care team and external resources to ensure efficient patient flow. #CA-DS Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position One (1) year of experience submitting prior authorizations under medical benefits Experience working in an electronic health record finding needed medical documentation as it relates to a prior authorization request Ability to process prior authorizations Excellent customer service skills and communications both orally and in writing Preferred Qualifications Experience performing home infusion intake Experience billing both pharmacy and medical benefit for home infusion Experience enrolling patients in and working with manufacturer patient assistance programs Experience scheduling patients Experience working in a home infusion pharmacy Experience working with Epic EMR, CPR+, or other clinical software Knowledge of home infusion billing and coding practices Knowledge of Medicare and Medi-Cal practices relating to intake, authorization, and billing Key Responsibilities 85% - Intake and Authorization Work 10% - Continuing Education and Learning 5% - Other Duties as Assigned Department Overview UC Davis Health is a nationally recognized leader in the provision of high-quality, patient-centered care, based in the Greater Sacramento area of Northern California. UC Davis Health has a Comprehensive Cancer Center, internationally recognized MIND Institute, and a nationally ranked pediatric hospital. The UC Davis acute care hospital has 646 beds and an ambulatory care service area spanning north to the Oregon border, east to Nevada, and down the Central Valley to Fresno, California, covering 65,000 square miles across 33 counties. The Department of Pharmacy is a dynamic, integral, and critical part of patient care provided by UC Davis Health. As a department of greater than 600 professional, technical, and administrative support personnel, we focus on providing patient-centered medication management that optimizes outcomes through practice, education, research, and leadership through the continuum of care. We also have the largest pharmacy residency program in the country with 46 total residents in 13 different programs. The Department of Pharmacy offers comprehensive pharmaceutical services (unit dose, IV admixtures, clinical services, infusion pumps, and teaching) throughout the health system complex 24 hours a day, 7 days a week. The pharmacy services encompass inpatient pharmacy services as well as an expansive footprint in the ambulatory care space where we have clinical pharmacists embedded within our clinics and specialty care locations. Our operational teams support the health system enterprise with three inpatient pharmacies, five outpatient pharmacies, two infusion pharmacies, a home infusion service line, and the full complement of pharmacy purchasing, stores, and distribution. Department Specific Job Scope UCDH Home Infusion is a new department aimed at bringing advanced infusion care to patients in the comfort of their homes. Our purpose and values are centered from a patient-driven perspective and in partnership with physicians and other providers. The department prides itself on its delivery of user-friendly Home Infusion care for all patients, caregivers, and members of the health care team.

POSITION INFORMATION

Salary or Pay Range: $30.65 - $38.10 Salary Frequency: Hourly Salary Grade: 234 UC Job Title: ACCESS REPR SR UC Job Code: 009098 Number of Positions: 1 Appointment Type: Staff: Career Percentage of Time: 100 Shift (Work Schedule): M-F 0815-1645, 8 hour Location: Pharmacy Shared Service Center (BLDG108) Union Representation: EX-Patient Care Technical Benefits Eligible: Yes This position is 100% on-site Benefits High quality and low-cost medical plans to choose from to fit your family's needs UC pays for dental and vision coverage for you and your family Retirement plans for eligible employees including Pension and other Retirement Saving Plans Supplemental insurance offered including additional life, short/long term disability, pet insurance, legal coverage, accident, critical illness and hospital indemnity Pregnancy and Parental Leave, Family & Medical Leave, Adoption Assistance and Pay for Family Care and Bonding for eligible employees Lactation Support Program and Family Care discounts and resources Employee Well-being resources and programming to support thriving in all aspects of employee’s lives On-site Employee Assistance Program including access to free mental health services Generous amount of paid Holidays annually as outlined in the UC Policies or Collective Bargaining Agreements Paid Time Off/Vacation/Sick Time as outlined in the UC Policies or Collective Bargaining Agreements Continuing Education (CE) allowance and Staff Education Reimbursement Program for eligible employees Access to free professional development courses and learning opportunities for personal and professional growth Public Service Loan Forgiveness (PSLF) Qualified Employer and Student Loan Debt Counseling Program for eligible employees Physical Demands Standing - Frequent 3 to 6 Hours Walking - Frequent 3 to 6 Hours Sitting - Continuous 6 to 8+ Hours Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours Bending/Stooping - Occasional Up to 3 Hours Squatting/Kneeling - Occasional Up to 3 Hours Twisting - Occasional Up to 3 Hours Reaching overhead - Occasional Up to 3 Hours Keyboard use/repetitive motion - Continuous 6 to 8+ Hours Mental Demands Sustained attention and concentration - Continuous 6 to 8+ Hours Complex problem solving/reasoning - Frequent 3 to 6 Hours Ability to organize & prioritise - Continuous 6 to 8+ Hours Communication skills - Continuous 6 to 8+ Hours Numerical skills - Frequent 3 to 6 Hours Constant Interaction - Frequent 3 to 6 Hours Customer/Patient Contact - Frequent 3 to 6 Hours Multiple Concurrent Tasks - Frequent 3 to 6 Hours Work Environment UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space. Special Requirements – Please contact your recruiter with questions regarding which activities apply by position This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment. This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements. Misconduct Disclosure Requirement As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. A Culture of Opportunity and Belonging At UC Davis, we’re committed to solving life’s most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together. As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. To view the University of California’s Anti-Discrimination Policy, please visit: Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. #YouBelongHere To learn more about our background check program, please visit: #J-18808-Ljbffr UC Davis Health