Infusion Analyst

Responsibilities

• Works with each department (Physicians, clinical staff, managed care, operations, and insurance) to create and maintain open communication to optimize work performance and productivity.
• Monitor the purchasing of chemotherapy, infusion drugs.
• Ensure patient accounts are current and authorization process is being followed per policy and procedure guidelines.
• Maintain monthly records and reports for all infusion drugs.
• Meet with leadership and various departments as needed.
• Work with drug companies and their representatives in relation to drug reimbursement.
• Responsible for checking all drug prices and updating any drug contracts associated with discounts and or rebates.
• Responsible for screening the physician’s order for each drug regiment to ensure all diagnosis codes reported accurately reflect the patient’s condition.
• Responsible for checking patient’s accounts periodically to assure that drugs are being properly coded and reimbursed accordingly.
• Maintain profitability of drug regimens.
• Stay abreast of new chemotherapy and other infusion drugs and J-codes.
• Inform coders and insurance department of any changes.
• Investigate new Patient Assistance Programs and work with such programs to aid patients with financial and therapeutic needs.
• Follow up on Patient Assistance Programs and/or grant deadlines to ensure funding is fully recognized.
• Collect and post monies on Infusion and Chemotherapy services.
• Partner with patients to ensure a full understanding of Infusion and Chemotherapy services and financial expectations.
• Prepare reports and analysis as required using necessary software.
• Identify and communicate to management any concerns, which could result in an adverse impact to the company’s cash flow.
• Acts as a liaison to the software vendor and IS to identify and correct system problems and to advise of system upgrades.
• Participate in special assignments as requested.

Requirements

• An Associate Degree in a medical field of study is preferred.
• A strong insurance background required.
• Certified in the use of Nextgen and AthenaFlow software required.
• The ability to interact effectively with physicians, mid-level providers, clinical and non-clinical employees as well as the public and vendors is paramount.