Medical Intake Insurance Specialist Pharmacy

SUMMARY

As a Medical Intake Insurance Specialist, you will be responsible for the intake process for patients referred to Lifetime Pharmacy LLC in regards to all aspects of member's home IV therapy medical insurance benefit, eligibility, patient financial responsibility and policy prior authorization requirements.

STATUS: Part Time

DEPARTMENT: RRH Home Infusion Pharmacy

SCHEDULE: Monday - Friday

ATTRIBUTES

High School diploma, GED or equivalent work experience in a health care environment

2-3 years of customer service experience required including home infusion insurance knowledge and experience

Knowledge of medical terminology

Strong communication skills

Strong data entry skills and proficiency use of a PC

RESPONSIBILITIES

Identifies and determines in accordance with established policies and procedures the accuracy and completeness of home IV insurance and/or demographic information for patient admissions.

Data entry of patient demographic information into computer system.

Communicates with Insurance companies to obtain authorization of services to be provided and verifies patients insurance benefits and assesses patient financial responsibility.

Maintains knowledge of ALLSCRIPTS and CPR+ software systems as well as on line websites for Insurance companies.

Answers calls and obtains pertinent information quickly and accurately to identify and assess callers needs and determine action steps to satisfy those needs while ensuring a high level of service.

Assists as needed in facilitating the overall processing operations of the IV/Sub Q intake functions.

Responds knowledgeably and professionally to inquiries regarding Lifetime Care Home Health and Hospice services and programs.

Maintains a high level of knowledge of home infusion insurance rules and regulations and evaluates payer specific rules that apply to each referral.

Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

EDUCATION LICENSES/CERTIFICATIONS Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran PHYSICAL REQUIREMENTS : S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Job Details:

Posted Date : 2022-04-21

Expiry Date : 2022-07-21

Job type : Part Time