Specialty Pharmacy Intake Coordinator

4 weeks ago


Los Angeles, United States Aleracare Full time
Job DescriptionJob Description

Location:

7039 Valjean Ave, Van Nuys, CA 91406

Job Summary:

Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services

Job Description:

Job Responsibilities

  • Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
  • Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
  • Creates documentation required to service the patient per policy and payer guidelines.
  • Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
  • Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
  • Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.
  • Does this position have supervisory responsibilities? No

Basic Education and/or Experience Requirements

Current CA pharmacy technician

Basic Qualifications

  • Experience establishing and maintaining relationships with individuals at all levels of the organization.
  • Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction.
  • Basic PC skills including email, Microsoft Word, Excel and PowerPoint.
  • Typing skills ~40 words per minute
  • Experience in identifying operational issues and recommending process improvements.
  • Strong communication skills to speak with external service providers and internally with the AleraCare team to coordinate services.
  • Strong organizational skills.

Preferred Qualifications

  • Prior experience in home infusion intake/specialty intake coordination
  • Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.

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