Intake Coordinator home Infusion-Insurance Verification (REMOTE)

Schedule: Full-Time | Monday–Friday, 8:30 AM – 5:00 PM or 9:00AM-5:30P
Location: Remote

Position Summary:
The Insurance Authorization Specialist plays a critical role in supporting patients, providers, and pharmacy clinicians by ensuring accurate insurance verification, authorization, and reimbursement for infusion and enteral services. This role partners closely with internal teams and external payers to streamline the referral and authorization process and minimize patient financial impact.

Key Responsibilities:Verify insurance coverage and obtain patient demographic and payer information to ensure accurate billing and claims processingSecure prior authorizations for pharmacy services and follow up with referral sources, providers, patients, and payers as neededApply payer guidelines and coverage criteria to support approval of infusion and enteral therapiesCollaborate with clinical teams and referral sources to gather required documentation and physician ordersIdentify potential patient out-of-pocket costs and partner with payers to determine payment solutionsRegister patients and maintain accurate, up-to-date insurance and demographic recordsReview therapy orders and generate required documentation, including Assignment of Benefits and Advanced Beneficiary Notices (ABNs)Educate patients, staff, and providers on insurance requirements, authorization processes, and coverage guidelinesPartner with case management and revenue cycle teams to ensure timely and accurate reimbursementMaintain current knowledge of Medicare, Medicaid, and commercial payer requirements, including pre-authorization rulesRequired Qualifications:High School Diploma or GED5+ years of experience in home infusion, healthcare billing, accounts receivable, or insurance authorizationStrong knowledge of third-party payer requirements, including authorizations, referrals, and pre-certification processesUnderstanding of medical terminology and healthcare workflowsPreferred Qualifications:Experience with Medicare/Medicaid reimbursement guidelines in home health or infusionKnowledge, Skills & Abilities:Strong analytical, organizational, and prioritization skillsHigh attention to detail with ability to manage multiple tasks simultaneouslyAbility to work independently with minimal supervisionExcellent communication and interpersonal skills; able to navigate sensitive financial discussions with patientsStrong computer skills, including Microsoft Office and electronic medical record (EMR) systemsWork Environment & Physical Requirements:Office-based role in a standard healthcare administrative environmentAbility to sit, stand, and walk throughout the dayOccasional lifting up to 10 lbsFrequent communication via phone and in-person interactions