Infusion Benefits Coordinator Job Rockville area,Maryland USA,Healthcare

Job Details

Job Location
:
Fairfax - Fairfax, VA 22031

Position Type
:
Full Time

Education Level
:
College Degree Preferred

Salary Range
: $25.00 - $25.00 Hourly

Travel Percentage
:
None

Job Shift
: 8:00 AM to 5:00 PM

JOB TITLE: Infusion Benefits Coordinator

LOCATION: Rockville, MD on-site for training period then the role will be full-time hybrid in Fairfax, VA.

HOURS: 4 DAY WORK WEEK - Monday - Thursday (Full-Time)

PAY:

FREE PARKING AT ALL 7 OFFICE LOCATIONS!

BENEFITS: Health/Dental/Vision Insurance - Cigna
FSA
HSA
Life Insurance
401K Contributions
Disability Insurance
Paid Time Off
Every Friday off
Tuition Assistance
Free Parking
Paid Maternity and Paternity Leave
STD/LTD/ADD Insurance (short-term disability, long-term disability and accidental death and dismemberment insurance)

SUMMARY:

Join us at Arthritis and Rheumatism Associates!

We are a dynamic and creative team who are leading the way in healthcare innovation as we set the standard on optimum patient care. We offer competitive pay and excellent work-life balance with our 4-day work week (closed Fridays).

GENERAL SUMMARY OF DUTIES:

Interaction with practice business associates, physicians and patients as required. Investigate and coordinate all patient infusion benefits and options. Verify that infusion orders, referrals, and/or prior authorizations are obtained prior to infusion treatments. Calculate patient financial responsibility estimates for infusion services that will be administered. Counsel patients on the findings from our benefit investigations. Assist patients with enrollment to copay assistance programs.

Update and verify new insurances when required. Schedule all initial infusion appointments and set appointment alerts for check-in/out staff. Schedule follow-up infusions, office visits, labs, and DEXA’s when necessary.

SUPERVISION RECEIVED: Reports to the Infusion Benefits Manager

SUPERVISION EXERCISED: None

TYPICAL

WORKING CONDITIONS:

Normal office environment

TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time. Requires eyesight that is correctable to 20/20. Some bending, lifting, and stretching required. Working under stress and deadlines. Frequent use of telephone and computers required. Manual dexterity required for use of calculator, computer, and other common office equipment/machines. Good oral and written communication skills required.

EXAMPLES OF DUTIES: (This list may not include all the duties assigned)

Stay up to date on all infusion drugs used and the respective pharmaceutical companies and their assistance programs.

Stay up to date on all accepted insurances.

Review and accepts order assignments in Referral

MD.

Update order statuses in Referral

MD and document any needed conversations or events.

Verify that the drug ordered in EHR is the same drug that is preauthorized, in the OOP alert, and in the appointment book.

Call insurance carriers for eligibility and benefit verification.

Submit for prior authorization or predetermination to payers when needed.

Enter authorizations under the insurance in EPM and create authorization alerts in the patient chart.

Place yearly alerts with benefits information obtained in the investigation.

Assist patients with their enrollment to assistance programs.

Schedule/Cancel/Reschedule infusion, doctors, labs, and DEXA appointments in Next Gen EPM.

Review scheduled appointments and create out-of-pocket alerts and counsel patients when needed.

When creating OOPs, review and counsel the patient any financial balances and include them in the amount to be collected.

Document all information on Pre-Infusion log and scan completed paperwork to the patient’s chart. Use the Pre-Infusion Checklist to also generate BI log documents in EHR.

Email physicians to provide updates on any delays with scheduling.

Assist Business Office with:

Following up infusion appeals
Accounts for indigent infusion patients
Infusion billing errors
Billing inquiries

Become familiar and utilize ICD-10 and CPT coding to maximize infusion functions and assist the reimbursement processes.

Arrange the delivery for free and specialty pharmacy drugs when needed.

Assist with incoming phone calls to the Arise mainline when possible.

Handle infusion problem…


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