Intake and Authorizations Coordinator

Position Responsibilities

• Secure prior authorizations for home infusion services and medications from insurance providers.
• Verify patient insurance coverage and benefits specific to home infusion care.
• Avoid delays by ensuring all required documentation is accurately submitted to insurance companies to support authorization requests.

Communication and Coordination

• Serve as a liaison between healthcare providers, insurance companies, and the sales team to resolve authorization-related issues.
• Communicate authorization status and potential out-of-pocket costs to franchise in a timely and clear manner.
• Collaborate with the pharmacy team to ensure accurate and prompt hand off for processing of medication orders.

Documentation and Record Keeping

• Maintain comprehensive records of authorization requests, approvals, denials, and related communications within the electronic medical record system.
• Update patient files with current authorization details and ensure compliance with regulatory and organizational standards.
• Generate and submit reports on authorization activities and outcomes to management as needed.

Qualifications

• Required Education: High school diploma or equivalent.
• Prior experience in healthcare administration, patient intake, or a related field, preferably within a home infusion or pharmacy setting.
• Strong communication and interpersonal skills to effectively interact with payors, providers, and team members.
• Excellent organizational skills and attention to detail.
• Ability to work independently and collaboratively in a fast-paced environment.
• Proficiency in using computer systems and software, including electronic health records (EHR) and pharmacy management platforms.
• Familiarity with maintaining medical documentation in HIPAA-compliant systems.