Insurance Coordinator (Specialty) (Torrance)

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!

Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose : We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.

PREMIER BENEFITS - For FULL TIME Employees :

Competitive Pay

401K Matching Plan - Up to 4%

Quarterly Bonus Opportunities

Medical, Dental & Vision Insurance

Employer Paid Life Insurance

Short Term / Long Term Disability Insurance

Paid Vacation Time Off

Paid Holidays

Referral Incentives

Employee Assistance Programs

Employee Discounts

Fun Company Events

Description of Responsibilities

The Specialty Insurance Coordinator is responsible for all new referral insurance verification and / or authorization in a timely matter.

Reporting Relationship

Director of Operations

Scope of Supervision

None

Responsibilities include the following :

1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals.

2. Responsible for insurance re-verification for all specialty restart patients

3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year.

4. Responsible for advanced monitoring expiring authorizations for existing specialty patients

5. Responsible for securing advanced re-authorization for existing specialty patients.

• Participate in surveys conducted by authorized inspection agencies.
• Participate in the pharmacys Performance Improvement program as requested by the Performance Improvement Coordinator.
• Participate in pharmacy committees when requested.
• Participate in in-service education programs provided by the pharmacy.
• Report any misconduct, suspicious or unethical activities to the Compliance Officer.
• Perform other duties as assigned by supervisor.
• Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable.

Minimum Qualifications :

Education and / or Experience :

Job Type : Full-time

Benefits :

Work Location : In person