Infusion Phones at ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Mar, 26

Salary

0.0

Posted On

10 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Eligibility, Prior Authorization, Medical Terminology, Customer Relations, Data Entry, Clinical Screening, Benefit Verification, Communication, Problem Solving, Interpersonal Skills, Scheduling, Patient Assistance, Team Coordination, Microsoft Office, NextGen, Payer Portals

Industry

Hospitals and Health Care

Description

Description Infusion Phones Job Identification Job Title Infusion Phones Reporting to Infusion Manager Department / CC Infusion Location Phoenix Administration Job Reference AARA/Infusion Phones No. Job Holders 1 Last Update September 15th 2022 2. Job Purpose An Infusion phone representative is the main contact of any infusion queries. Contact may include; appointment scheduling/rescheduling, status updates on medication progress, patient responsibility notification, department transfers and complaint escalation. 3. Job Dimensions Supervisory/Line Management Authority None Area Authority None Financial Authority None Process Authority None Patient Contact Constant availability to answer calls, questions or concerns 4. Organizational Position CEO RCM Director Infusion Coordination Manager Infusion Coordination Lead (if applicable) 5. Role of the Department Assist patients with infusion/injection concerns or questions. As an infusion personnel it is your responsibility to ensure the patients coverage and responsibility for these high-cost dollar drugs. Updating the patient on coverage, scheduling or contacting any members within AARA to provide assistance to the patient as necessary. 6. Key Result Areas Managing incoming calls or incoming post services claims work. Obtains and inputs pre-authorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre-certification, prior authorization, and post service requests. Responsible for the identification and data entry of referral requests into the system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Checks benefits for facility-based treatment. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. 7. Equipment, Machinery and Systems Equipment and Machinery Phone Printer/Fax Systems Nextgen Microsoft Office applications Payer portals Outlook 8. Assignment and Review of Work All new AARA employees will agree initial objectives to be assessed on completion of their 90-day initial review period. Thereafter, all employees will enter the annual appraisal cycle under the AARA Talent, Performance and Career Management Policy where annual appraisals will be conducted by their Line Manager and CEO. Further information on the appraisal cycle calendar is available from the HR Manager and from the Talent, Performance and Career Management Policy on the AARA Intranet. 9. Communication and Relationships The postholder must have strong interpersonal and relational talents. Success in this role involves building and maintaining relationships with internal and external stakeholders Key Internal Relationships Infusion Coordinators Reverification & RVS Management Infusion Nurses & MAs Infusion Director Billing/Claims Manager Key External Relationships Insurance payers Drug representatives Patients 10. Demands of the Job Physical Lifting, Moving and Handling Patient Sitting for long periods etc Mental Effort/Fatigue Stress Requirements Knowledge, Skill, Training and Experience to do the Job Required Must be able to work Monday-Thursday from 7:00 a.m. to 6:00 p.m. Insurance eligibility and benefits experience Prior authorization experience Medical terminology Must be able to travel as needed Preferred Bilingual in Spanish Experience in medical or insurance field, preferred NextGen, preferred

Responsibilities

The Infusion Phone Representative manages incoming calls related to infusion queries, including appointment scheduling, medication status updates, and patient notifications. They also verify insurance benefits and eligibility, ensuring patients receive the necessary support for high-cost medications.