Insurance Benefit Coordinator

About Us

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life. At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients.

About the Role

The Insurance Benefit Coordinator functions as an integral member of a multidisciplinary clinical team that manages the care of patients. This position will verify the patient’s health benefits and coverage for infusion services. The Insurance Benefit Coordinator works closely with the Intake Coordinator to process new referrals timely. Ensures accurate and complete verification of insurance benefits and obtains authorizations. Works closely with clinical staff and Intake team in providing and promoting customer service, process flow, operational integrity, quality care, and process improvement along with high service standards.

Minimum Qualifications

• Experience/Education: High School Diploma or Equivalent
• One year of healthcare experience or customer service experience
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel)
• Ability to cope with ambiguous, changing environment while under pressure in a calm manner
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions

• Provides timely acceptance and completion of new referrals including insurance verification, authorization, and Predeterminations as needed.
• Obtains patient data from referring physician’s office for support of medical necessity by reviewing payor medical policies and/or FDA guidelines providing the initial clinical review; Documents in the EMR system the clinical rationale supporting the approval or denial of an infusion service based on the payer policy or FDA guidelines.
• Provides clinical knowledge and acts as a clinical resource for non-clinical staff members.
• Communicates with peers, supervisors, and other PI team members in a non-threatening manner maintaining a courteous demeanor at all times.
• Takes initiative to present ideas and suggestions for process improvements to the team lead, supervisors, and management.
• Maintain knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Performs other duties and projects as assigned.
• Supports the marketing efforts of PI by assisting the sales team and providing educational materials to the referral sources as requested.

About the Benefits

• Competitive Compensation
• Comprehensive Medical Insurance
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey Smart Dollar Program
• Referral Program
• Tuition Assistance
• Paid Time Off
• 8 Paid Company Holidays

Patient Advocacy Statement

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive. Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands

• Frequently stand, walk, sit, bend, twist, talk, and hear.
• Occasionally lift and/or move up to 25 pounds.
• Read, distance, computer, and color vision.
• Talking and hearing are essential to communicate with patients, vendors, and staff.

Confidentiality and HIPAA Policies

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies.

Equal Opportunity Employer

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.