Infusion Biologics Coordinator (West Long Branch)
- Perform all necessary tasks to verify medical benefits, insurance eligibility and whether referrals are required by the patient's insurance carrier.
- Ensure that all necessary prior authorizations are obtained before a patient arrives for a scheduled procedure.
- Collaborate with healthcare providers to verify treatment plans, obtain necessary authorizations, and ensure compliance with clinical protocols.
- Communicate with patient, staff, administrators, and operations management in a timely manner.
- Perform other duties as required
- Must be extremely detail oriented.
- Must be able to read and comprehend specific insurance policies and protocols put forth by various insurance carriers to ensure compliance.
- Basic understanding of CPT and ICD coding.
- Basic understanding of rudimentary medical terminology.
- Excellent judgement and decision making.
- Problem solving and organizational skills.
- Reliability, Accuracy and Efficiency when dealing with patients or third-party payors.
- Excellent verbal and written communication skills.
- Ability to use good judgments in highly emotional and demanding situations.
- Ability to react to frequent changes in duties and volume of work.
- Excellent oral and written communication skills.
- Ability to manage multiple tasks with ease and efficiency.
- Effective interpersonal skills, including the ability to promote teamwork.
- Strong problem-solving skills.
- Maintains confidentiality of sensitive information
- Knowledge of third-party insurance authorization and billing practices
- Knowledge of internal billing structure, and billing procedures
- Experience with patient assistance programs
- High-school diploma or GED. Associates degree or higher in health sciences or related field preferred.
- 2 years' experience in a large medical practice, specialty pharmacy, outpatient infusion center or hospital performing similar tasks, preferably in infusion therapy or biologics coordination.
- Proficiency in electronic medical records (EMR) system and scheduling software.
- Proficiency with Microsoft office products including Word and Excel.
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