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Administrative Representative

Aya Healthcare

Job Title

Responsible for taking Infusion Therapy and Home Health referrals from referral sources. Verifies insurance, enters patient demographics into the computer system, communicates with other departments regarding status of referrals, and notifies patients/families regarding coverage and payment responsibilities. Ensures that all intake forms are complete, clear, and within the company's scope of service.

Schedule: Monday Friday 8:00 AM 5:00 PM

Minimum Qualifications:

  • High School Diploma or Equivalent
  • 2 years experience in health related field
  • Proficient at partner programs (i.e.: MS Outlook Word Excel).
  • Ability to cope with ambiguous changing environment while under pressure in a calm
  • Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

  • Verification of all new and current cases' insurance every month
  • Maintain knowledge of the company's insurance contracts
  • Assisting with the in-coming Infusion and DME referrals
  • Speaks knowledgeably regarding reimbursement issues and which insurance companies the companies have active contracts with.
  • Ensures that insurance verification is completed prior to giving the referral to a Clinical/Care manager and/or Pharmacist.
  • Ensures that the Clinical/Care Manager and Pharmacist receive the referral in a timely fashion.
  • Assists the Clinical/Care Managers with any necessary sub-contracting of services.
  • Assists In on-call responsibilities.

About the Benefits:

  • Competitive Compensation
  • Comprehensive Medical Insurance
  • Dental and Vision Insurance
  • Company Life Insurance
  • Voluntary Life and Disability Insurance
  • Additional Voluntary Supplemental Plans
  • Flexible Spending Account (Medical and Dependent Care)
  • Health Savings Account
  • 401K Retirement Plan
  • Employee Assistance Program (EAP)
  • Employee Discounts
  • Ramsey SmartDollar Program
  • Referral Program
  • Tuition Assistance
  • Paid Time Off
  • 8 Paid Company Holidays

Patient Advocacy Statement:

At Palmetto Infusion we believe that patient advocacy is at the heart of everything we do regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes our commitment to being a compassionate advocate is paramount. We understand that every interaction every decision and every effort contribute to the quality of care our patients receive. Together we strive to ensure that every individual feels heard supported and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job the employee may be required to frequently stand walk sit bend twist talk and hear. There may be prolonged periods of sitting keyboarding reading as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading distance computer and color vision. Talking and hearing are essential to communicate with patients vendors and staff.

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination. We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status veteran status or disability status.

Vacancy posted 2 days ago
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