What are the responsibilities and job description for the Intake Coordinator position at jobbot?
A bit about us :
Our client provides therapeutic, intravenous infusions to outpatients. Infusions include biological medications, intravenous immunoglobulin, blood products, and antibiotic therapy.
Other services include medication injections and IV Hydration.
Services offered :
- Highly skilled clinical team focused ONLY on personalized injection and infusion treatment plans.
- Continuation of care with a nurse practitioner who knows the patient’s case.
- Comfortable waiting room with little to no wait time.
- Private temperature-controlled treatment rooms with recliners, TVs, WiFi, and refreshments.
- 9 convenient locations throughout SoCal. (Los Angeles, Riverside, and San Diego)
Why join us?
- Competitive pay
- 401k matching
- 100% employer-paid medical insurance
- Life and Disability insurance
- PTO and Holiday Schedule
- Growth opportunities
Job Details
Responsibilities :
- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards, and build trusted and enduring customer relationships that yield loyalty.
- Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases. May communicate with financial assistance team of drug manufacturers to apply for and secure financial assistance for patient when assigned.
- Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
Review for accuracy of prescribed treatment regimen prior to submission of authorization.
Facilitate appeals process between the patient, physician, and insurance company by requesting denial information and facilitates obtaining the denial letter from the insurance, patient, or physician.
Composes clinical appeals letters based off of specific denial reason and patients’ clinical presentation.
- Ensures all clinical information and documentation are obtained prior to appeal submission. Coordinates appointment of representative document with patient and physician office.
- Completes status check with insurance company regarding receipt of prior authorization and appeal and approval or denial status.
Obtains approval information and activates copay cards based off eligibility and specific drug prescribed.
- Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service, to ensure patient access and to avoid delays that may interrupt therapy.
- Completes a series of assessments mandated by either manufacturer contracts or operations and facilitates patient enrollment with manufacturer Hubs when required.
- Receive notification of patients in need of financial assistance to cover the cost of their prescriptions. Communicate with patients to provide information regarding assistance programs and community resources that provide the required assistance.
- Follow up with assistance providers to determine the status of applications, expedite consideration of requests, advocate on behalf of patients, and track the status of applications and related activity.
