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Prior Authorization Specialist

2 months ago

Bedford, United States Local Infusion Full time
Job DescriptionJob DescriptionWe are Local Infusion.

Local Infusion is a venture-backed healthcare company shaping the way care is delivered to patients with chronic autoimmune disease on specialty infusion medications. We have locations in New Hampshire and Maine, with more on the way. Our focus on patient experience, technology, and clinical integration allows us to deliver a differentiated care model that leads to lower costs for patients and enhanced outcomes. Through a blend of patient-centered design and a people-first team culture, Local Infusion puts the "local feel" of community, comfort and connection back into the patient and provider experience. At our care centers, all patients—and our team—can feel truly supported, every step of the way.

What We’re About
We’re a team of innovators, clinicians, and technologists on a mission to improve outcomes for patients, save time for physicians and make infusion therapy more affordable for everyone involved. Our mission is to transform the infusion care industry, because patients deserve better. 

  • Ownership—Takes initiative, being accountable and caring about the outcome

  • Excellence—Do what it takes to raise the bar, being an example for our colleagues, patients and partners

  • Curious & Inquisitive— Always seek to gather information and knowledge, and understand the way 

  • Find A Way— There will be obstacles, but we find a way, even when there isn’t a defined road forward

  • It’s a Marathon, not a Sprint - We have large problems to solve, and they won’t be solved overnight. We are persistent every day. 

We’re looking for an Insurance & Intake Coordinator -- a "Infusion Guide" -- who is passionate about raising the bar in infusion therapy care.

The Infusion Guide will contribute to the company’s growth through detailed referral and intake coordination along with excellent customer and physician customer service. The Infusion Guide will make sure our patients receive the highest level of care possible in infusion therapy.

The Infusion Guide will report to the Head of Operations, and will be based in New Hampshire. This is a Full-Time position that will be located onsite whenever patients are scheduled. This role will be primarily based in Bedford. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations.  The Infusion Guide role is perfect for those wishing to remain at the forefront of healthcare innovation, while having predictable hours, autonomy, and a manageable workload.

In this role, you will: 

  • Handle all aspects of the infusion referral process; obtaining authorizations, financial counseling, benefit investigation

  • Liaison with referring providers to obtain documentation necessary for treatment, and communicate status of their patients

  • Communicate referral process and status to patients in a customer-centric way

  • Openly communicate with referring/prescribing providers

  • Assist in maintaining medical inventory and office supplies

  • Dedicated 1 on 1 training for 6 weeks to help you succeed in your role

Here’s what we’re looking for:

  • Passion for Patient Care, and Delivering Exceptional Patient Experiences

  • Health Care Experience Required

  • Prior Experience in Infusion is Preferred

  • Insurance Prior Authorization Experience

  • Medical Terminology Experience

  • Overall Medical Insurance Experience

  • Ability to quickly grasp new apps

  • Experience and strong familiarity utilizing Electronic Health Records (EHR) systems

The Local Infusion Way

Local Infusion is a respectful and upbeat team united by our mission of shaping the way specialty infusion care is delivered.  We are highly ambitious, but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get: 

  • This position's minimum starting pay is $23/hr

  • Medical, dental, and vision insurance through our employer plan

  • Short- and long-term disability coverage, life insurance

  • Matching 401k

  • 15 Days PTO — and we want you to take it

  • Competitive paid parental leave and flexible return to work policy

Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.