Intake and Authorizations Coordinator at Druid City Vital Care

Bentonville, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Jun, 26

Salary

0.0

Posted On

13 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Benefit Verification, Authorization Management, Prior Authorizations, Insurance Coverage Verification, Documentation Submission, Communication, Coordination, Issue Resolution, Record Keeping, Compliance, Quality Assurance, Customer Service, Organizational Skills, Attention To Detail, Independent Work, EHR Proficiency

Industry

Hospitals and Health Care

Description

Position Summary: The Chronic Intake/Authorizations Coordinator is responsible for overseeing and managing the authorization process for home infusion services. This role ensures that all required authorizations are obtained promptly and accurately, supporting seamless patient care and compliance with insurance guidelines. The coordinator serves as a key liaison among healthcare providers, insurance companies, sales teams, and the franchise to facilitate timely and efficient authorization workflows. Position Responsibilities: 1. Benefit Verification and Authorization Management * Secure prior authorizations for home infusion services and medications from insurance providers. * Verify patient insurance coverage and benefits specific to home infusion care. * Ensure all required documentation is accurately submitted to insurance companies to support authorization requests. 2. Communication and Coordination * Serve as a liaison between healthcare providers, franchise, 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. 3. 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. 4. Compliance and Quality Assurance * Ensure adherence to all applicable laws, regulations, and internal policies related to home infusion services and insurance authorizations. * Participate in quality assurance initiatives to enhance the efficiency and accuracy of the authorization process. * Stay current on changes in insurance policies, procedures, and regulations that may impact authorization workflows. 5. Customer Service * Provide exceptional service to patients, healthcare providers, and insurance representatives throughout the authorization process. * Address and resolve concerns related to insurance coverage and authorization status. * Educate teams on the authorization process, requirements, and timelines. Qualifications: Required Education: * High school diploma or equivalent. Preferred Education (not required): * Associate or bachelor’s degree in healthcare administration, business administration, or a related field. Experience & Skills: * 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 Physical Requirements: * Must be able to sit or stand for extended periods while performing job duties. * Frequent and consistent use of a telephone is required, including handling inbound and outbound calls for prolonged periods throughout the workday. * Ability to use a headset and other telecommunication equipment for extended durations. * Manual dexterity required for dialing, typing, and note-taking during calls. Work Authorization: * Must be legally authorized to work in the United States without requiring employer sponsorship, now or in the future. * Provide proof of identity and employment eligibility to complete the I-9 verification process. * For multi-state operations, eligibility for licensure reciprocity or transfer of pharmacist licensure may be necessary (if applicable).

Responsibilities

The Intake and Authorizations Coordinator manages the entire authorization process for home infusion services, ensuring timely and accurate acquisition of necessary insurance approvals. This role acts as a central liaison between providers, insurance companies, sales teams, and the franchise to maintain efficient authorization workflows.