Nutrition Operations Specialist

Job Description

Job Description

“Streamlining Medicare Intake and lab documentation for better patient outcomes.”

InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team-oriented, and quality work environment for our employees that cultivates achievement and success.

Description:

Reporting to the National Nutrition Director, the Nutrition Operations Specialist will be responsible for assisting with coordinating comprehensive parenteral nutrition therapy referrals and providing ongoing support as needed by the Nutrition Support Team. By connecting internal and external key stakeholders during the patient onboarding process, the NOS will be responsible for collecting, tracking and reviewing patient medical documentation to help ensure that the medical records meet Medicare part B and/or third-party payers coverage criteria is met prior to dispense, supporting clean claims and a timely path to payment. This role will also provide ongoing follow-up regarding patients’ laboratory results, prescriber order updates and complete ongoing administrative tasks in collaboration with the clinical Dietitian, Care Transition Coordinators, Pharmacy and Nursing Team. With a focus on accuracy, compassion, and collaboration, this role helps deliver the foundation for better patient outcomes in parenteral nutrition therapy.

Responsibilities:

Government and Third-Party Payer Intake Coordination of Care

• Review, organize and process patient referrals for parenteral nutrition services as directed by the patients Care Team.
• Work closely to support the patient and their Nutrition Support Team in the management of TPN therapy.
• Have expertise with insurance eligibility and coverage criteria, with emphasis on Medicare part B reimbursement requirements.
• Collect, organize, and maintain patient medical records, prescriptions, and supporting documentation.
• Communicate with physicians, nurses, dietitians, and case managers to ensure accurate and timely coordination when needed.
• Upload, label, track and manage required Medicare part B qualification documentation.
• Participate in Medicare part B and other payer audits for TPN patients as needed.
• Track and monitor patient progress the Intake workflow to ensure compliance with regulatory standards.

Laboratory Coordination

• Request, track, and follow up on laboratory results needed for parenteral nutrition qualification and monitoring.
• Maintain lab tracker to keep track of when labs are due, who to call for results, where to send results and log when completed)
• Obtain lab results for patients timely (example: labs drawn Monday- call or pull results on Tues)
• Liaise with external laboratories, physician offices, nurse agencies and appropriate Internal pharmacy team and healthcare facilities to obtain timely lab reports, about scheduling and collecting lab recognition forms.
  • Ensure lab data is accurately entered into patient records and shared with clinical teams.
  • Monitor lab schedules and proactively identify missing or delayed results.
  • Maintain compliance with HIPAA and Medicare documentation standards.
  • Communicate and work closely with clinical team

Potential tasks

• Complete lab requisition forms and create lab requisition labels
• Work with pharmacy team on appropriate lab tubes for individual lab sites
• Attend meetings and other functions necessary to perform duties and assist in business. development for the Company, including assisting in launching certain data collection software.
• Perform other duties as assigned by management.
• Maintain proficiency in computer program applications, knowledge, and skills.

Requirements:

• High school diploma or equivalent. A college degree is preferred
  
• Home infusion experience required as related to Parenteral Nutrition Therapy
• ICD10 coding and Medical Coverage Criteria knowledge
• Proficiency with Microsoft Office suite products
• Experience with information technology a plus
• Have a drive for results, competitive spirit, and self-accountability for achieving company goals
• Clear, concise communication

• Ability to multitask, prioritize, and work independently in a fast-paced environment.
• Collaboration: Works effectively with interdisciplinary healthcare teams.
• Proven success across past career positions

Physical Demands:

Required to stand, walk, sit, talk, and hear; required to use hands to operate vehicles and office equipment; must be able to occasionally lift and/or move up to 25 lbs; specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care. 

InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, national origin, military status, marital status, citizenship/immigration status, sex (including pregnancy and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including employer requests for, or purchase use, or disclosure of genetic tests, genetic services, or family medical history), retaliation for filing a charge, reasonably opposing discrimination, or participating in a discrimination lawsuit, investigation, or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran.