**REMOTE/SALARY 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.
The Intake Supervisor is a full-time position responsible for overseeing the intake staff and making day-to-day decisions for Advanced Infusion Care division. Under the supervision of the Financial Services Intake Manager, the supervisor is responsible for directing and coordination of all functions of the intake process to ensure timely and quality services in accordance with contractual agreements, federal regulations and procedures while upholding professional standards, high levels of customer service and open communication. Responsible for insurance verification and authorization/appeal processes, analysis of production metrics to improve performance and quality processes. The supervisor will encourage a patient focused, cost effective, and high-quality environment for all front-line interactions.
REQUIRED EDUCATION AND EXPERIENCE:
• Associate Degree preferred or equivalent combination of education and experience.
• 3-5 years of healthcare industry experience required.
• 1-2 years Supervisor or Lead experience required.
• Home Infusion, Immunoglobulin experience required.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Manages the daily activities of insurance verification and authorization functions for infusion of intrathecal patient management.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes
• Serves as Subject Matter Expert (SME) for all insurance verification and authorization denial management
• Maintains contact with other departments to obtain supporting documentation needed to complete authorization process
• Reviews productivity and quality performance metrics to ensure alignment with department goals.
• Reviews the benefit verification queues and redistributes work as needed.
• Reviews the Authorization/Appeals Tracking Report redistributes work as needed.
• Ensures work assignments are processed within SLA's.
• Assists with creating and updating training modules
• Train new and existing employees.
• Supervises Intake staff, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance
• Assist with coaching and performance management.
• Performs quality review on current procedures to monitor and improve efficiency of verification process
• Participates in the development and implementation of operating policies and procedures
• Coordinates staff time off in a manner that does not negatively impact necessary daily functions.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintains a thorough understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
• 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.
• Interacts with others in a positive, respectful, and considerate manner.
• Completes hiring, scheduling of staff, time, and attendance review.
• Conducts performance management and reviews, including disciplinary action, as necessary.
• Performs other job-related duties as assigned
QUALIFICATION REQUIREMENTS:
• Knowledge of medical insurance processes.
• Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
• Strong work ethic with personal qualities of integrity and credibility.
• Ability to deal with highly sensitive and confidential material.
• Knowledge of medical terminology.
• Self-directed, detail oriented, conscientious, organized, and able to follow through.
• Ability to multi-task, set priorities, and mange time effectively
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments to meet timelines.
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Tolerant of frequent interruptions and distractions from staff and other internal support teams.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Ability to communicate with clarity and professionalism with patients, visitors, physicians, and coworkers.
• Ability to make decisions, solve problems, and work independently with little supervision.
• Travel up to 25%
