Benefits Specialist

Insurance Benefit Coordinator

Job Category:
Skilled Support

Requisition Number: INSUR
002953

Location:

2000 Center Point Road, Floor 4, Columbia, SC 29210, USA

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service always delivering a warm and attentive health care experience that boosts patients state-of-mind, improves their health and quality of life.

At Palmetto Infusion we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience and we believe it's what sets us apart from other employers. For our employees The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

The Insurance Benefit Coordinator functions as an integral member of a multidisciplinary clinical team that manages the care of patients. This position will verify the patients health benefits and coverage for infusion services. The Insurance Benefit Coordinator works closely with the Intake Coordinator to process new referrals timely. Ensures accurate and complete verification of insurance benefits and obtains authorizations. Works closely with clinical staff and Intake team in providing and promoting customer service process flow operational integrity quality care and process improvement along with high service standards.

Monday to Friday, 8:00 AM to 5:00 PM

Experience/

Education:

• High School Diploma or Equivalent
• One year of healthcare experience or customer service experience
• Proficient at partner programs (i.e.: MS Outlook Word Excel).
• Ability to cope with ambiguous changing environment while under pressure in a calm manner.
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Provides timely acceptance and completion of new referrals including insurance verification authorization and Predeterminations as needed. Obtains patient data from referring physicians office for support of medical necessity by reviewing payor medical policies and/or FDA guidelines providing the initial clinical review Documents in the EMR system the clinical rationale supporting the approval or denial of an infusion service based on the payer policy or FDA guidelines.

Provides clinical knowledge and acts as a clinical resource for nonclinical staff members. Communicates with peers supervisors and other PI team members in a nonthreatening manner maintaining a courteous demeanor at all times. Take initiative to present ideas and suggestions for process improvements to the team lead supervisors and management. Maintain knowledge and proficiency in medical practices through continuing education staff meetings and workshops.

Perform other duties and projects as assigned. Supports the marketing efforts of PI by assisting the sales team and providing educational materials to the referral sources as requested.

Competitive Compensation

Comprehensive Medical Insurance

Dental and Vision Insurance

Company Life Insurance

Voluntary Life and Disability Insurance

Additional Voluntary Supplemental Plans

Flexible Spending Account (Medical and Dependent Care)

Health Savings Account

401K Retirement Plan

Employee Assistance Program (EAP)

Employee Discounts

Ramsey Smart Dollar Program

Referral Program

Tuition Assistance

Paid Time Off

8 Paid Company Holidays

Patient Advocacy Statement:
At Palmetto Infusion we believe that patient advocacy is at the heart of everything we do regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes our commitment to being a compassionate advocate is paramount.

We understand that every interaction every decision and every effort contribute to the quality of care our patients receive. Together we strive to ensure that every individual feels heard supported and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job the…