Intake Coordinator home Infusion-Insurance Verification

Department:

10429 Home Office IL -

Insurance Verification Status:

Full time

Benefits Eligible:

Yes Hours Per Week:

40

Schedule Details/Additional Information:

Monday-Friday days Pay Range $21.85 - $32.80 Intake Coordinator home Infusion-Insurance Verification (REMOTE)

Schedule:

Full-Time | Monday-Friday, 8:30 AM - 5:00 PM or 9:00AM-5:30

P Location:

Remote Position Summary:

The Insurance Authorization Specialist plays a critical role in supporting patients, providers, and pharmacy clinicians by ensuring accurate insurance verification, authorization, and reimbursement for infusion and enteral services. This role partners closely with internal teams and external payers to streamline the referral and authorization process and minimize patient financial impact.

Key Responsibilities:

Verify insurance coverage and obtain patient demographic and payer information to ensure accurate billing and claims processing Secure prior authorizations for pharmacy services and follow up with referral sources, providers, patients, and payers as needed Apply payer guidelines and coverage criteria to support approval of infusion and enteral therapies Collaborate with clinical teams and referral sources to gather required documentation and physician orders Identify potential patient out-of-pocket costs and partner with payers to determine payment solutions Register patients and maintain accurate, up-to-date insurance and demographic records Review therapy orders and generate required documentation, including Assignment of Benefits and Advanced Beneficiary Notices (ABNs) Educate patients, staff, and providers on insurance requirements, authorization processes, and coverage guidelines Partner with case management and revenue cycle teams to ensure timely and accurate reimbursement Maintain current knowledge of Medicare, Medicaid, and commercial payer requirements, including pre-authorization rules

Required Qualifications:

High School Diploma or GED 5+ years of experience in home infusion, healthcare billing, accounts receivable, or insurance authorization Strong knowledge of third-party payer requirements, including authorizations, referrals, and pre-certification processes Understanding of medical terminology and healthcare workflows

Preferred Qualifications:

Experience with Medicare/Medicaid reimbursement guidelines in home health or infusion

Knowledge, Skills & Abilities:

Strong analytical, organizational, and prioritization skills High attention to detail with ability to manage multiple tasks simultaneously Ability to work independently with minimal supervision Excellent communication and interpersonal skills; able to navigate sensitive financial discussions with patients Strong computer skills, including Microsoft Office and electronic medical record (EMR) systems

Work Environment & Physical Requirements:

Office-based role in a standard healthcare administrative environment Ability to sit, stand, and walk throughout the day Occasional lifting up to 10 lbs Frequent communication via phone and in-person interactions Our Commitment to

You:

Advocate Health offers a comprehensive suite of

Total Rewards:

benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs

Educational Assistance Program Note:

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient's experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It's offering more sites of care than any other health system in the Midwest. But there's a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we'll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care