Order Access Specialist

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 Order Access Specialist is primarily responsible for processing new orders and new insurance plans for existing patients. This position will obtain needed information from the MD office regarding the order and insurance plan requirements. Ensuring accurate and complete review of medical necessity and verification of insurance benefits and authorizations, the Order Access Specialist will aid patients in gaining access to their prescribed treatment including sourcing financial assistance for their treatment if necessary. A successful candidate for this role will consistently provide and promote customer service, process flow, operational integrity, quality care and process improvement, providing the Palmetto Experience.

Schedule: Monday – Friday; 8:00 AM – 5:00 PM.

Minimum Qualifications:

Experience/Education:

• High School Diploma or Equivalent.
• 1 year of medical insurance case management or patient assistance experience.
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
• Ability to cope with ambiguous, changing environment while under pressure in a calm
• 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 orders including insurance verification, authorization, and predeterminations as needed.
• Obtains necessary patient data and documentation from referral sources to support medical necessity and payer requirements by reviewing payer medical policies and/or FDA guidelines providing the initial insurance review.
• Documents in the EMR system the rationale supporting the approval or denial of an infusion service based on the payer policy or FDA guidelines.
• Aids patients in the enrollment and re-enrollment process for copay or grant assistance programs when eligible.
• Evaluates patient eligibility for free-drug or ship-in drugs.
• Completes Insurance Benefit Summaries (IBS) and forwards to appropriate clinic locations/staff.
• Completes Advance Beneficiary Notices (ABN) when required and explains to patient why it is required.
• Utilizes the EMR software exclusively for the purposes of communicating and documenting patient information.
• Possesses the knowledge of reading Explanation of Benefits (EOB), and general insurance terminology, such as: copay, coinsurances, and deductions.
• Maintains knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Supports the marketing efforts of PI by assisting the sales team and providing education 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 SmartDollar 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:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

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.