Intake & Authorization Specialist

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care solutions. Guided by our core values of Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives for the patients, providers, and communities we serve.

We are seeking an experienced Intake & Authorization Specialist to join our growing team. This role is ideal for a healthcare professional who enjoys managing referrals, verifying insurance benefits, obtaining authorizations, solving insurance-related issues, and helping patients gain access to the therapies they need.

If you're looking for a remote opportunity with a company that values teamwork, accountability, patient care, and professional growth, we'd love to hear from you.

We offer a comprehensive benefits package, including:

100% Remote Work Opportunity

Medical, Dental, and Vision Insurance

Company-Paid Life Insurance

Long-Term Disability Insurance

Generous Paid Time Off

401(k) with Generous Employer Match

Career Growth Opportunities

Supportive and Collaborative Team Environment

The Intake & Authorization Specialist is responsible for managing patient referrals, verifying insurance benefits, obtaining authorizations, and coordinating patient onboarding activities for infusion and targeted drug delivery services.

The ideal candidate will have strong knowledge of insurance verification, medical and pharmacy benefits, authorization requirements, payer guidelines, and patient financial responsibility. This individual must be detail-oriented, highly organized, and capable of working independently while managing multiple referrals and deadlines.

Receive, review, and process patient referrals from providers, hospitals, and referral sources

Verify patient insurance eligibility and benefits

Determine authorization requirements and obtain approvals from insurance carriers

Manage authorizations, referrals, pre-determinations, and reauthorizations

Research insurance coverage and patient financial responsibility

Review referral documentation for completeness and accuracy

Follow up on missing clinical documentation, physician orders, and authorization requirements

Initiate and manage appeals for denied authorizations when appropriate

Communicate with patients regarding coverage, benefits, and financial responsibility

Coordinate with nurses, pharmacists, providers, case managers, and referral sources to facilitate the start of care

Maintain detailed documentation and account notes within company systems

Monitor and follow up on pending authorizations and referrals until resolved

Ensure compliance with HIPAA, payer requirements, and company policies

Maintain knowledge of insurance plans, medical terminology, payer guidelines, and authorization processes

Support team members by sharing knowledge and best practices

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AIS Healthcare is the nation's leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home infusion therapies. Through innovative pharmacy services, specialized nursing support, and comprehensive care coordination, we help providers deliver exceptional patient care and outcomes.

We're looking for positive, hardworking professionals who are passionate about making a difference in the lives of patients and providers.