Infusion Coordinator

2 weeks ago

Phoenix, United States ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC Full time

Description:
Recently named one of Arizona’s Top Workplaces, Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 51 providers, 11 sites and over 250 employees providing assessment and treatments for rheumatological, podiatric, and electromyography patients. Our providers work together to keep patients healthy, and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.

Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.

We are a seeking an ambitious, friendly, positive, and compassionate Infusion Coordinator to join our Infusion Team.

RESPONSIBILITIES
- Managing incoming calls or incoming post services claims work.
- Obtains and inputs pre-authorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral
- Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre-certification, prior authorization, and post service requests.
- Responsible for the identification and data entry of referral requests into the system in accordance with the plan certificate.
- Responds to telephone and written inquiries from clients, providers and in-house departments.
- Conducts clinical screening process.
- Checks benefits for facility-based treatment.
- Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

**Requirements**:
**11. Knowledge, Skill, Training and Experience to do the Job**

**Essential**
- Must be able to work Monday-Thursday from 7:00 a.m. to 6:00 p.m.
- Insurance eligibility and benefits experience
- Prior authorization experience
- Medical terminology

**Preferred**
- Experience in medical or insurance field
- NextGen

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