This position will be responsible for procuring treatment authorizations through the insurance plans, confirming insurance eligibility and benefits for treatment, counseling patients on the out-of-pocket expenses and helping find external resources for payment assistance

Duties/Responsibilities:

• Verification of patient benefits and eligibility for specific services and infusion medications
• Verify referrals are on file for payers requiring one
• Procurement of Authorizations for Infusion services
• Preparation of cost estimates based on treatments plans established
• Work closely with leadership in Revenue Cycle and Operations to closely monitor the Infusion
• services payer requirements and anticipate any issues that may arise
• Follow up with patients regarding billing questions they may have regarding the services received
• Work closely with MD and Clinical staff to pivot treatment plans as required by a patient’s insurance
• Set up Prepayment plans for services and Payment plans for outstanding balances
• Work with patients to find possible external resources to assist them with expenses incurred for their
• treatment plan, i.e.. Grants, co-pay assistance.
• Serve as liaison for patient inquiries related to treatment plan, benefits and out of pocket costs

Required Skills/Abilities:

• Infusion billing experience required
• Excellent verbal and written customer service skills
• Strong analytical and problem-solving skills
• Ability to read and interpret EOB’s
• Excellent organizational skills and attention to detail
• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper
• confidentiality on all such information
• Other duties as assigned based on business need
• Proficiency in Microsoft Office 365
• Medical Terminology

Education /Experience:

• High School Diploma or GED
• Minimum 3-5 years’ experience as a patient financial counselor, intake coordinator specializing in
• infusion, chemotherapy and/or specialty pharmacy setting - Preferred
• Experience in Athena EMR – Preferred but not required