Job Description

Home Infusion Clinical Documentation Specialist Home Infusion experience required - IVIG products preferred Remote position Advanced Infusion Care, a division of AIS Healthcare, is the leading provider of Home Infusion Therapy. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience. Advanced Infusion Care is looking for an experienced and motivated Intake Coordinator to join our dynamic team! The Intake Coordinator role is a full-time position responsible for providing patient access to the medication and therapies needed by contacting insurance companies and verifying the patient’s health insurance eligibility, benefits, coverage/non-coverage information and initiation/extension of authorizations. The perfect candidate should have outstanding communication and time management skills, extreme attention to detail and accuracy, have in-depth knowledge of insurance benefit verification, and work in compliance with Federal and State rules and regulations. AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, remote work from home opportunity, growth, and more!

JOB SUMMARY:

Knowledge in Home Infusion Immunoglobulin, Alpha-1, and Biosimilar specialty therapies is required. The Home Infusion Clinical Documentation Specialist is responsible for accurately and efficiently managing medical records and clinical documentation to ensure that authorization aligns with the prescribed therapy. This role requires a strong understanding of medical terminology to identify necessary criteria in compliance with healthcare regulations, coding standards, and patient care requirements. The specialist collaborates closely with healthcare providers, the Sales team, and administrative staff to review, update, and maintain patient records.

EDUCATION AND EXPERIENCE:

A high school diploma or GED is required; some college is preferred. A minimum of 2–3 years of relevant experience or an equivalent combination of education and experience is desired.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Recognizes patients’ rights and responsibilities and supports them in the performance of job duties; respects patient’s rights to privacy and confidentiality.
• Review and verify patient medical records for completeness, accuracy, and compliance with healthcare standards.
• Ensure proper documentation of diagnoses, treatments, and procedures to support coding and billing processes.
• Collaborate with physicians, nurses, and medical staff to clarify documentation and ensure consistency.
• Assist with the implementation of clinical documentation improvement (CDI) initiatives.
• Maintain electronic health records (EHR/ EMR) and ensure timely updates.
• Ensure compliance with HIPAA and other healthcare regulations regarding patient information security.
• Train and educate healthcare professionals on proper documentation practices.
• Identify and correct discrepancies or deficiencies in medical records.
• Follows up on pending or expired authorizations.
• Documents, in detail, phone calls, phone number, person spoken to and call details on a consistent basis.
• Maintains a thorough understanding of NDC (National Drug Code) numbers, billing units, metric quantities and etc.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations and medical codes.
• Shares knowledge gained with other staff members and works as a team member.
• Interact with others in a positive, respectful, and considerate manner.
• Performs other job-related duties as assigned.

QUALIFICATION REQUIREMENTS:

• Knowledge of insurance verification.
• Ability to communicate effectively and professionally with patients, visitors, physicians, and coworkers.
• Ability to make decisions, solve problems, and work independently with little supervision.
• Demonstrate extreme attention to detail and accuracy.
• Ability to prioritize and meet deadlines.
• Basic computer proficiency.
• Knowledge in the use of Microsoft applications.

Steps to Apply: To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed. #J-18808-Ljbffr Hirebridge

Job Tags

Full time, Remote job,

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