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Intake/Reimbursement Specialist
Fairview Health Services
Overview We provide extensive home and outpatient infusion services to patients requiring IV therapy such as feeding by IV, infection treatment, chemotherapy, pain management and blood products/transfusions. Fairview Home Infusion is one of the largest home infusion organizations in the upper Midwest. It uses a care team structurepharmacists, doctors, nurses, nutritionists, insurance expertsand customized operational services and reports to meet the needs of referring providers and patients. Our outpatient infusion centers provide chemotherapy and other infusion services along with clinical consultation and patient education. Specialized pharmacists work in collaboration with patients physicians and nurses to coordinate care at ambulatory suites throughout the Twin Cities and the surrounding Duluth area. Provide superior customer service to all internal and external customers. Accept and process all referrals, identify payor sources, verify benefit information and acquire initial authorization as needed to begin patient service or to determine denial of patient service. Takes initiatives to problem solve all questionable referrals to assure correct payor source. Follows up on pending unresolved coverage issues. Documents and communicates to appropriate providers and internal departments accurate intake, benefit/authorization, and reauthorization information on current or potential patients.Utilize computer systems to enter and maintain accurate patient benefit information and to effectively communicate with case management staff, liaisons, social workers, physicians, clinics, Fairview teams or departments, staffers, billing/benefit staff and all others needing to make service related decisions. Preferred Education Bachelors degree in healthcare related field Minimum Education: Vocational or Associates Degree Minimum Experience: Two years recent experience working in health insurance/benefits or equivelent experience working as a pharmacy technician in a healthcare setting. Insurance knowledge related to healthcare field. ICD10 coding knowledge and stong customer service skills. Proficent in Word, Excel, and Outlook applications. We can recommend jobs specifically for you! Click here to get started.
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