Speciality Pharmacy Intake Coordinator

Pure Infusion Suites is a fast-growing healthcare start-up, recognized as the fastest-growing company in Utah as of October 2024. Our success comes from our remarkable team, shared values, and a supportive culture that shows in every interaction, whether with patients in our clinics or with insurance companies and vendors at our corporate headquarters. If you are detail-oriented, self-directed, and passionate about ensuring claims are processed quickly and accurately, this could be the perfect role for you.

OUR CORE VALUES

People-obsessed Job Summary Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services. Job Responsibilities Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided. Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc. Creates documentation required to service the patient per policy and payer guidelines. Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines. Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements. Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service. Calls patients and prescriber offices to schedule deliveries. Does this position have supervisory responsibilities? No Basic Education and/or Experience Requirements High school diploma Basic Qualifications Experience establishing and maintaining relationships with individuals at all levels of the organization. Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction. Basic PC skills including email, Microsoft Word, Excel and PowerPoint. Experience in identifying operational issues and recommending process improvements. Strong communication skills to speak with external service providers and internally with the AleraCare team to coordinate services. Strong organizational skills. Preferred Qualifications Pharmacy technician license issued by the California State Board of Pharmacy Prior experience in home infusion intake/specialty intake coordination Previous Infusion Medical Billing/Collections or Intake/Admissions Experience The pay range for this role is: 24 - 26 USD per hour (31000 Van Nuys Corp ) #J-18808-Ljbffr AleraCare Holdings, LLC