Home Infusion Intake Coordinator; Mount Sinai Morningside; Full Time; Days

Job Description

The Home Infusion Intake Coordinator is responsible for insurance verification, conducting and completing necessary third party (insurance) prior authorization requests, patient out of pocket estimates, patient notification of co-insurance, co-payments and deductible for all treatment plans, patient enrollment in all applicable co-pay programs, foundations and free drug programs to assist with out of pocket expenses, referral for Medicaid/charity care assistance when applicable, billing to co-pay programs and foundations, and co-pay program credit card processing for all patients in our Mount Sinai Home Infusion program. Interacts with hospital employees on multiple levels, including pharmacists, medical/clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants.

Qualifications

• 3+ years of prior insurance verification or precertification experience.

• 3+ years of home infusion experience preferred.

• High School Diploma ? Associate Degree or higher preferred

Non-Bargaining Unit, LAI - HSO Pharmacy Home Infusion- STL, Mount Sinai St. Luke's

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $23.01 - $35.86 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Responsibilities

• Verifies patient demographic and insurance information and updates all requires systems to ensure all have correct information.

• Completes third party prior authorization requests and verifies prescriptions

• Using an Estimator tool, calculate estimate for out of pocket expenses for treatment plan based on their current insurance benefits and hospital contracts.

• Based on out of pocket expenses, determine if patient is eligible for any drug Co-pay Assistance Programs, foundations or if best option for the patient is a referral to the Medicaid Application team for possible charity care enrollment.

• Clearly communicate to the patient their financial obligations and work with patient to get them enrolled in any/all relevant assistance programs, ensuring the patient understands the programs and their financial responsibility with and without program assistance. Answer any questions the patient might have.

• Maintains contact with prospective patients who may need continued assurances and encouragement to engage in treatment.

• Document patient program enrollment and effective dates in all applicable systems and spreadsheets. Update patient scheduled appointments with the appropriate Co-pay Program financial class.

• Notify clinical team, scheduling team, and patient of any delays in financial clearance issues which might delay their treatment start date.

• Submit claims with attachments and required claim forms when required, to Co-pay Assistance programs or foundations for patient co-pay, deductibles and co-ins. This will require downloading claims explanation of benefit documents from all relevant payer web sites.

• Follow-up with third party groups to ensure Patient Assistance Program claims are received and processed.

• Answer all patient, third party and other department email and/or phone requests regarding billing issues or program enrollment issues.

• Assist in the coordination of onboarding process, including but not limited to: ensuring complete order from provider; scheduling of nursing visit; coordinating pharmacy medication management/340B qualifying visit

• Utilizes Epic and Mount Sinai Home Infusion’s electronic medical record to document financial clearance status and patient responsibility.

• Processes cash deposits and addresses mail received related to authorizations and billing

• Cross-trained to support all service lines, treatments, and payers.

• Remains up to date on all new drugs and financial assistance programs they offer.

• Keeps abreast of coverage updates to on all foundation programs and which programs have available funding for a covered diagnosis.

• Schedule is varied to meet the needs of the service sites and ancillary departments.

• Special projects as assigned by supervisor or manager

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $23.0137 - $35.8557 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.