Intake Coordinator

HIT Specialists is seeking an energetic Intake Coordinator to support our Albuquerque, NM Pharmacy. This is an in-person role.

The Position:

This position will be responsible for verifying insurance benefits for specialty medications and services along with submitting and tracking authorization requests. This position will also be responsible for communicating updates on pending referrals and ensuring timely referral processing.

Responsibilities include:

• Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
• Responsible for documenting all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing.
• Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes.
• Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed.
• Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations.
• Generate new patient start of care paperwork.
• Other duties as assigned

Schedule:

• In person
• M-F 8:00am-5:00pm
• Overtime as needed

Requirements:

• Home Infusion experience highly preferred.
• Experience with referrals, benefit verifications and authorizations preferred.
• At least 2 years of medical intake/reimbursement experience preferred.
• High school diploma or equivalent.
• Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units.
• Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met.
• Ability to work in a fast-paced environment.
• Knowledge of HIPAA regulations.
• Basic level skill in Microsoft Excel & Word.
• Knowledge of CPR+ preferred.

About Us:

A division of HME Specialists, Home Infusion Therapy (HIT) Specialists allows you to customize your home infusion therapy services by requesting when and where treatments occur. HIT Specialists provide in-home flexibility and delivery of equipment and drugs.

As a premier provider of home medical services HME Specialists is committed to taking care of our customers, our employees and to making a difference in our communities. Members of the HME team donate time and money to a variety of causes and nonprofit organizations across New Mexico.

HME Specialists is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. HME Specialists does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

HME Specialists Perks:

• Competitive Wages
• Referral Bonus
• Annual Merit Based Increases
• No Weekends or Holidays!
• Affordable Medical, Dental, & Vision Insurance Plans
• Paid Time Off
• Great Company Culture
• Company discount