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Description

Manages the scheduling and logistics of injection procedures, including coordinating with patients, providers, and facilities. Key responsibilities include scheduling appointments, verifying insurance, obtaining authorizations, and providing pre- and post-procedure instructions to patients. 

Essential Functions 

Generate reports for dates of service (DOS) worked on

Run daily reports for add-on patients and ensure proper documentation

Prepare injections for technicians for scheduled dates of service, along with the expected list of patients

Verify patient insurance coverage and eligibility

Request prior authorizations from insurance companies for prescriptions and office visits; call in or fax prescriptions to the pharmacy accurately and promptly

Follow up with pharmacies to obtain prescription status updates

Request and track office visit referrals and authorizations and key into internal system accurately and timely

Inform patients of any co-pays related to office visits or pharmacy services. Apply to co-pay assistance foundations when injection costs exceed established amount(s)

Submit insurance appeals for denied injection claims and follow up accordingly

Create and maintain individual folders for each patient; file all sent and received documents-including fax confirmations-in each patient's folder

Scan injection delivery tickets and upload them to the patient's electronic record

Enter delivered injections into the inventory management system and safely dispose of expired injections using approved biohazard (red box) procedures

Report any damaged or spoiled injections to the pharmacy immediately and assist with managing recall injections and tracking affected lot numbers

Answer phone calls and direct inquiries appropriately

Schedule and reschedule patient appointments as needed

Follow established protocols and procedures for injection requests and pick-up

Support technicians with maintaining and updating the inventory template when needed

Complete billing-related tasks as assigned by the Billing Department

Update general patient information, including changes to insurance, in patient charts

Assist the Manager with special projects and administrative tasks as required

Requirements

Job Specifications 

Typically has the following skills or abilities

One year of experience or equivalent training in a similar role within a medical or Ophthalmology setting

Knowledge of medical and ophthalmology terminology

Ability to manage multiple tasks and priorities effectively

Strong ability to handle and resolve patient complaints professionally and empathetically

Organizational skills with demonstrated ability to manage urgent or stressful situations calmly and effectively

Ability to communicate professionally and effectively in writing and verbally, with accurate spelling and grammar

Bilingual in English and Spanish preferred

Proficiency with use of computers and EMR systems is required

Interpersonal skills to establish effective relationships with patients and fellow staff

Ability to handle sensitive and confidential information and to follow administrative, ethical, and legal requirements for safeguarding patient privacy

Must have reliable transportation, as may be required to travel to other locations as needed

For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment 

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability, or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

The compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding iCare benefits, please click here.