Overview
Responsible for all new referrals for the Infusion Services. Knows and understands insurance contracts, obtaining prior authorizations and benefits. Re-verifies eligibility and benefits as changes occur. Enters all information into the EMR.
Why UnityPoint Health?
At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Â
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:     Â
- Expect paid time off, parental leave, 401K matching and an employee recognition program.  Â
- Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Â
- Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.  Â
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  Â
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.Â
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
- Responsible for looking at the individual needs of each patient/customer and matching those needs to the many services Iowa Health Home Care has to offer; utilizing other members of the home care coordination team as necessary to coordinate services outside of the specialized service line.
- Processes all incoming work orders, interviewing client/referral source to secure demographic and financial and qualifying data, and securing verification and authorization of benefits as appropriate.
- Specializes in one or more of the agency's service lines, yet is responsible for having a basic knowledge of all service lines.
- Directs inquiries and referrals to the appropriate individual and/or service line. Coordinates incoming calls from both referral sources and patient/customers.
- Initiates and coordinates prior authorization requests to third party payers and maintains a working knowledge of third party payer guidelines. Follows up with third party payers as necessary.
Qualifications
Education:
- High School Diploma/GED
Experience:
- One year of medical experience, preferably in community home health or pharmacy
Licensure/Certification:
- Pharmacy Support Person (PSP) Upon Hire
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