Onehome is looking for an IV Authorization Coordinator

Our IV Authorization Coordinator is responsible for the day to day operations of the referral/prior authorization department, including all phases of referral, and authorization of managed care patients. Utilizes medical knowledge when responding to payer queries.

What to expect in your role:

• Independently process, pay and or pend routine and complex health and prescription claims in accordance with assigned Plan(s), ensuring quality and quantity standards are consistently met
• Use telephone or computer to obtain additional information and payments from members
• Provide telephone customer service to participants and providers regarding routine eligibility, benefits and claim status
• Perform routine administrative and clerical tasks to remain current on procedures and claims processing resources and to update claims system data
• Perform other related duties and special projects as assigned
• Must understand payer contracts and requirements
• Ability to request Fee for Services authorization

Requirements:

• Certified Pharmacy Techincian
• 3+ years of experience in healthcare industry
• Weekends shift as needed
• Knowledgeable in both Medicare and Medicaid
• Ability to read and interpret documents, such as safety rules, operating and maintenance instructions and procedure manuals
• Able to communicate effectively in English and Spanish, both verbally and in writing, preferred
• Automated pharmacy systems
• Demonstrates IV Laminar Flow Hood, proficiency preparing within chemo hood.
• Ability to write routine correspondence.
• Ability to speak effectively and present information in one-on-one and small group situations to customers, clients and other employees of the organization.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
• Ability to apply concepts of basic accounting principles.
• Ability to solve practical problems.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Complies with all organizational policies and procedures.
• Communicates the mission, ethics and goals of the company.

What we offer to you:

“We care for our employees as much as we care for our patients, which is why we offer a comprehensive benefits package, generous PTO, and employee wellness programs.”

Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Ability to commute/relocate:

• Miramar, FL 33025: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Home health: 1 year (Required)
• IV Infusion: 1 year (Required)
• Insurance verification: 2 years (Required)

Shift availability:

• Day Shift (Required)
• Night Shift (Required)

Work Location: One location

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