Intake Coordinator-Pharmacy
UnityPoint Health
Summary
Responsible for all new referrals for the Infusion Services. Knows and understands insurance contracts, obtaining prior authorizations and benefits. Re-verifies eligibility and benefits as changes occur. Enters all information into the EMR.
Job description
Overview
Responsible for all new referrals for the Infusion Services. Knows and understands insurance contracts, obtaining prior authorizations and benefits. Re-verifies eligibility and benefits as changes occur. Enters all information into the EMR.
Responsibilities
- Responsible for looking at the individual needs of each patient/customer and matching those needs to the many services Iowa Health Home Care has to offer; utilizing other members of the home care coordination team as necessary to coordinate services outside of the specialized service line.
- Processes all incoming work orders, interviewing client/referral source to secure demographic and financial and qualifying data, and securing verification and authorization of benefits as appropriate.
- Specializes in one or more of the agency's service lines, yet is responsible for having a basic knowledge of all service lines.
- Directs inquiries and referrals to the appropriate individual and/or service line. Coordinates incoming calls from both referral sources and patient/customers.
- Initiates and coordinates prior authorization requests to third party payers and maintains a working knowledge of third party payer guidelines. Follows up with third party payers as necessary.
Qualifications
Education: High School Diploma/GED
Experience: One year of medical experience, preferably in community home health or pharmacy
Licensure/Certification: Pharmacy Support Person (PSP) Upon Hire
Requirements
- High School Diploma/GED
- One year of medical experience, preferably in community home health or pharmacy
- Pharmacy Support Person (PSP) certification upon hire
Benefits
- Paid Time Off
- Parental Leave
- 401(k) Matching
- Employee Recognition Program
- Dental Insurance
- Health Insurance
- Paid Holidays
- Short-Term Disability Insurance
- Long-Term Disability Insurance
- Pet Insurance
- Early Access to Earned Wages
- Tuition Reimbursement
- Adoption Assistance
Company overview
UnityPoint Health is a leading integrated non-profit health system serving communities across Iowa, western Illinois, and southern Wisconsin. As the nation's 13th largest nonprofit health system and fourth largest nondenominational health system in America, UnityPoint Health operates a comprehensive network of 18 regional hospitals, 17 community network hospitals, and over 400 clinics and healthcare facilities. The organization provides a full spectrum of healthcare services including primary care, specialty care, emergency services, surgical procedures, maternity care, cancer treatment, heart care, and home health services. Each year, UnityPoint Health serves nearly 8 million patient visits, performs approximately 100,000 surgeries, and delivers more than 20,000 babies. With more than 29,000 team members, the health system is recognized for its coordinated care approach, shared electronic medical record system, and commitment to making healthcare easier and more personal for patients. UnityPoint Health has been consistently recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for four consecutive years, reflecting its strong organizational culture and commitment to team member development.