Demo

Infusion Intake Coordinator

Southeastern Rheumatology Alliance
Gainesville, GA Full Time
POSTED ON 12/9/2024
AVAILABLE BEFORE 2/7/2025

Southeastern Rheumatology Alliance is seeking a dedicated and customer-oriented Infusion Intake Coordinator to join our healthcare team in Watkinsville, GA. The Infusion Intake Coordinator is responsible for managing and processing requests for prior authorization from healthcare providers to ensure that medical services, treatments, and medications are covered by insurance plans. This role involves reviewing medical records, communicating with insurance companies, and working with healthcare providers to obtain necessary approvals.

Duties and Responsibilities:

  • Review and process prior authorization requests submitted by healthcare providers.
  • Verify patient eligibility and benefits, and determine coverage based on insurance policies.
  • Gather and submit all required documentation, including medical records, treatment plans, and additional information as needed.
  • Ensure compliance with insurance company guidelines and company policies
  • Act as a liaison between healthcare providers, insurance companies, and patients to facilitate the authorization process.
  • Communicate clearly and effectively to gather information, address concerns, and resolve issues.
  • Address and resolve issues related to denied or pending authorizations.
  • Provide solutions or alternatives when necessary and follow up to ensure issues are resolved.
  • Track the status of pending authorizations and ensure timely processing.

Qualifications:

  • 1 year or more in a healthcare environment
  • Associate degree or any combination of education and work experience in a customer service-related role.
  • Experience with Medical terminology

Why you should apply:

Collaborative, team-oriented, work environment

4-day work week (Monday-Thursday)

Competitive benefits package that includes group medical, dental, vision, short-term & long-term disability insurance, paid holidays, Paid time off, and 401K.

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