Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health – US News & World Report.

We are excited to announce we are hiring for a full-time, Biologics Infusion Coordinator at our Corporate Business Office in West Long Branch, NJ!

Summary:

Under the direction of the Manager of Infusion, the Infusion Coordinator will engage in performing benefits investigations, obtain authorizations, enrollment in copay assistance, review billing for infusions, assist in reviewing of patients’ claims that have been submitted to third party payors but have not been fully adjudicated and/or denied. Responsibilities include maximizing reimbursement through programs that provide funding or provision of infusion medications.

Essential Responsibilities:

· Perform all necessary tasks to verify medical benefits, insurance eligibility and whether referrals are required by the patient’s insurance carrier.

· Ensure that all necessary prior authorizations are obtained before a patient arrives for a scheduled procedure.

· Follow-up of patients’ claims that have been submitted to third party payors but have not been fully adjudicated and/or denied.

· Communicate with staff, administrators, and operations management in a timely manner.

· Communicate efficiently, effectively, and timely while resolving issues pertaining to the account reconciliations processes.

· Perform other duties as required

Essential Skills:

· Must be extremely detail oriented.

· Must be able to read and comprehend specific insurance policies and protocols put forth by various insurance carriers to ensure compliance.

· Basic understanding of CPT and ICD coding.

· Basic understanding of rudimentary medical terminology.

· Excellent judgement and decision making.

· Problem solving and organizational skills.

· Reliability, Accuracy and Efficiency when dealing with patients or third-party payors.

· Excellent verbal and written communication skills.

· Ability to use good judgments in highly emotional and demanding situations.

· Ability to react to frequent changes in duties and volume of work.

· Excellent oral and written communication skills.

· Ability to manage multiple tasks with ease and efficiency.

· Effective interpersonal skills, including the ability to promote teamwork.

· Strong problem-solving skills.

· Maintains confidentiality of sensitive information

Education and Experience Required:

· Knowledge of third-party insurance billing practices, federal and state regulations regarding billing and reimbursement, internal billing structure, and billing procedures.

· Experience with patient assistance programs.

· High-school diploma or GED.

· 2 years’ experience in a large medical practice or hospital performing similar tasks.

· Proficiency with Microsoft office products including Word and Excel.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanning, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to see, talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

This position requires the ability occasionally to lift office products and supplies, up to 20 pounds.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits.

Job Type: Full Time

Shift: This is a full-time, hybrid position, and hours of work and days are Monday through Friday, at a fixed schedule determined by the needs of ADH.