Insurance Coordinator
TalentHop · United States · 2 wk ago
RemoteRemoteInformation TechnologyFull-time
This is a Fully Remote Job About Our Client:AOM Infusion is a provider in the home and specialty infusion therapy sector, focusing on delivering patient-centered care within the communities it serves. The organization addresses the challenge of providing safe, compassionate, and personalized infusion treatment, supported by a team of experienced clinicians and professionals. About the Opportunity:The INSURANCE COORDINATOR role ensures that patients' insurance coverage aligns with treatment requirements by managing authorizations, pre-certifications, and predeterminations. This position plays a critical role in facilitating communication among referral sources, sales staff, insurance carriers, and operations to enable timely and accurate insurance verification and approval, directly impacting patient care delivery. Responsibilities:Verify patient insurance coverage for prescribed therapy.Obtain necessary service authorizations from insurance carriers.Coordinate communication with pharmacy, nursing, and billing regarding insurance benefits.Submit insurance verification forms and authorizations.Participate in daily patient rounds to assess ongoing care needs.Track and renew authorizations as required.Secure clinical documentation and physician letters of medical necessity for insurance purposes.Enter data into the Specialty Pharmacy Business Operating system.Prepare patient start-of-care documentation.Provide financial counseling to patients or their representatives.Assist in collecting patient balances, deductibles, and coinsurance upfront.Maintain electronic storage of all patient information and communications.Support projects assigned by the Intake Manager and Senior Management. Requirements:High School Diploma or equivalent.2 to 4 years of experience in insurance reimbursement.1 to 2 years of experience with home care or home infusion reimbursement.Strong understanding of various insurance plan types.Effective communication, organizational skills, and self-motivation.Proficient computer skills. Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Benefits & Perks:Medical insuranceDental insuranceVision insurance401(k)Paid time off and paid holidaysFlexible Spending Account (FSA)Life and AD&D insuranceDisability coverageEmployee referral program Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.