What are the responsibilities and job description for the Insurance Case Manager - Home IV position at Palmetto Infusion?
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. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.
For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.
About the Role :
The Insurance Case Manager functions as an integral member of a multidisciplinary clinical team which manages the care of patients. The Insurance Case Manager will verify patient's health benefits and coverage for infusion services. The Insurance Case Manager works closely with the Intake Coordinator to process new referrals timely. Ensures accurate and complete verification of insurance benefits. Works closely with Nurse Manager and Reimbursement team in providing and promoting customer service, process flow, operational integrity, quality care and process improvement along with high service standards.
Schedule : Monday - Friday; 8 : 00 AM - 5 : 00 PM.
Minimum Qualifications :
Experience / Education :
- High School Diploma or Equivalent.
- 2 years of experience managing insurance benefit verifications and authorizations.
- 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 :
About the Benefits :
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 :
OTHER
All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.
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.
