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American Outcomes Management LP

Insurance Coordinator

Posted 13 days ago
$20 - $27 per hour
2-5 years experience
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AI Summary

The Insurance Coordinator is responsible for verifying patient insurance coverage, obtaining necessary authorizations, and managing pre-certifications for infusion therapy. They also provide financial counseling to patients and maintain accurate documentation within the pharmacy business operating system.

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

 

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