Patient Prior Authorization Specialist - Infusions

About the Company

Launched in 2018, OI Infusion aims to improve the patient and provider experience while simultaneously lowering costs for both providers and payers. The company operates both an infusion management service organization (MSO) and a network of multi-site ambulatory specialty infusion centers, called Novella. The MSO business line offers services such as staffing, managing operations, and revenue cycle operations for physician practices, enabling the specialty groups to provide infusion services to their patient base. We help our partners treat their patients in a comfortable, convenient, and affordable setting. The Novella ambulatory specialty infusion centers, allow for the business to contract directly with payers and are a major lever for future growth. Since its inception, Novella has scaled to operate over 35 clinics in the New England region. 

Position Summary  

The Patient Intake Coordinator will work with patients and insurance providers to perform pre-certification and insurance verifications for infusion services. 

Pay: $24.00 - $28.00 per hour (DOE)

Essential Duties and Responsibilities 

The essential functions include, but are not limited to the following: 

• Performs pre-certification and obtains authorizations and referrals as required by payor guidelines and in accordance with OI Infusion procedures   
• Verifying all information on authorization requests are accurate and received/process by insurance companies accordingly  
• Gathers medical documentation to support the patients' treatments for further review   
• Manages treatment schedule to ensure patients’ authorizations will be completed timely and treatments will remain undisrupted   
• Reviews and approves assigned orders utilizing department guidelines   

  Minimum Qualifications 

• 1-2 years of insurance verification experience in the medical field 
• Obsessive focus on patient-experience 
• Excellent verbal and written communication skills 
• Organizational skills 
• Attention to detail 
• Ability to work in a team as well as independently  

Benefits:

• Medical, dental and vision coverage
• Company paid Short Term Disability
• Employee Assistance Program
• Paid Time Off including PTO and paid holidays
• Paid Parental Leave
• 401k w/ employer match

Physical Demands and Work Environment  

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions 

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.  

Note 

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.