Healthcare Operations Coordinator

4 weeks ago


Watkinsville, Georgia, United States The Leaders Rheum Full time

Job Title: Infusion Intake Coordinator

About the Role: The Leaders Rheum is seeking a dedicated and customer-oriented Infusion Intake Coordinator to join our healthcare team in Watkinsville, GA.

Key Responsibilities:

  • Review and process prior authorization requests submitted by healthcare providers.
  • Verify patient eligibility and benefits, and determine coverage based on insurance policies.
  • Gather and submit all required documentation, including medical records, treatment plans, and additional information as needed.
  • Ensure compliance with insurance company guidelines and company policies.
  • Act as a liaison between healthcare providers, insurance companies, and patients to facilitate the authorization process.
  • Communicate clearly and effectively to gather information, address concerns, and resolve issues.
  • Address and resolve issues related to denied or pending authorizations.
  • Provide solutions or alternatives when necessary and follow up to ensure issues are resolved.
  • Track the status of pending authorizations and ensure timely processing.

Requirements:

  • 1 year or more in a healthcare environment.
  • Associate degree or any combination of education and work experience in a customer service-related role.
  • Experience with Medical terminology.

Why Work with Us: We offer a collaborative, team-oriented work environment, a 4-day work week (Monday-Thursday), and a competitive benefits package that includes group medical, dental, vision, short-term & long-term disability insurance, paid holidays, Paid time off, and 401K.



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