Intake Manager - IG Therapy

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Full Time Management US

7 days ago Requisition

Salary Range: $70,000.00 To $90,000.00 Annually

The IG Therapy Intake Manager will manage/oversee all phases of intake for the company’s IG therapy Business Unit to include benefits verification, authorization, and patient financial counseling while coordinating needed interaction with Caregivers, Physicians, and other internal/external stakeholders during the execution of these functions. This person will collaborate with the healthcare team to provide exceptional value to our customers. The IG Therapy Intake Manager will perform all duties in accordance with company policy/procedure, state professional standards, and other applicable regulatory requirements.

• Must be experienced with insurance coverage for infusion, specific health plans, and have familiarity with key requirements necessary for accurate benefit checks and authorizations.
• Able to accurately identify guidelines, coverage rules, and obtain prior authorization as well as certificates of medical necessity when needed.
• Have experience with Pharmacy management software for infusion
• Ability to maintain accurate and complete records.
• Communicates and resolves problems with patients/customers, physicians’ offices, referral sources, third party insurance companies, Medicaid, and Medicare.
• Proven track record and ability to work with reporting to follow up on prior authorizations.
• Ability to assess what is needed and work effectively with all members of the Infusion Team including Sales, Pharmacists, Nurses, IV Pharmacy Technician, and Drivers to accomplish goal.
• Team player willing to assist with office duties like filing, putting together charts and other duties as assigned.
• Assists with answering and directing phone calls, processing/triaging faxes and/or e-scripts to ensure timely order entry and coordination of care as part of the Intake process.
• Ability to work effectively with revenue team to maximize billing and collection of insurance claim receivables.
• Desire to educate themselves on the scope of services that are available through company and understand basic drug terminology and therapies/services provided.
• Actively support company mission, organizational/departmental policies and procedures
• Presents a professional appearance and approach w/members and other employees; demonstrates honest and ethical behavior. Handles member and employee info w/appropriate sensitivity and safeguards to ensure confidentiality and right to privacy, in compliance w/HIPAA regulatory requirements
• Contributes to the effectiveness of the team by maximizing talent through effective leadership as well as supporting, promoting and applying the best practice standards within their scope of authority
• Facilitate constructive work environment of attendance, punctuality, on time delivery, mutual respect and support while honoring diversity, effective communication, and improving the workspace
• Adjust work distribution to meet service, delivery, and company wide goals
• Take initiative to identify, develop & adapt new policies and practices to improve quality of work
• Responsible for staffing team – creating job descriptions, screening, interviewing, and selecting candidates
• Coach, mentor, and train new employees
• Responsible for providing guidance to the team members, completing yearly performance reviews, delegating responsibilities, and designating assignments
• Performs other related duties as assigned by management

• Always maintain confidentiality of patient and proprietary information
• Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary company information
• Understand and comply with HIPAA
• For all activities complies with accreditation, legal, regulatory, government and safety requirements

• High School diploma or equivalent. College degree is preferred.
• Minimum of…