Admissions Coordinator I - Infusion

Job Summary and Responsibilities

• Serve as a resource for infusion therapy, enteral therapy, durable medical equipment, and associated services.
• Initiate and coordinate patient admissions, ensuring timely collection and entry of referral data into CPR+.
• Verify insurance coverage, obtain prior authorizations, and manage benefit checks.
• Develop and maintain relationships with referral sources and outside agencies to facilitate seamless patient transitions.
• Care for coordination of start of care with referral sources, patients, pharmacy, nursing, and delivery teams.
• Manage documentation such as Certificates of Medical Necessity (CMNs), Statements of Medical Necessity (SMNs), and Detailed Written Orders (DWOs).
• Participate in team meetings and quality improvement activities.
• Negotiate payment rates with insurance agencies and maintain knowledge of revenue and reimbursement processes.
• Act as an educational resource regarding product lines and payer coverage.
• Maintain current knowledge of local insurance providers, indigent care sources, and reimbursement policies.
• Perform data entry with high accuracy, ensuring timely submission of paperwork.
• Troubleshoot and resolve issues related to patient admission and intake processes.

Job Requirements

• High school diploma or equivalent.
• Minimum of 3 years’ experience in infusion intake or related healthcare roles.
• Strong knowledge of medical terminology, insurance processes, and prior authorizations.
• Excellent organizational, time management, and interpersonal skills.
• Proficient in computer skills, including typing and data entry.
• Ability to work collaboratively with multidisciplinary teams.
• PREFERRED: Experience in home infusion intake, knowledge of government and commercial insurance payor coverage.