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Clearance Specialist- Central Standard Time Zone
Pay$21.00 - $25.00 / hour
LocationFrisco/Texas
Employment typeFull-Time
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Job Description
- Req#: 3198881
Employer Industry: Specialty Pharmacy and Infusion Services
Why consider this job opportunity:
- Salary up to $25.00 per hour
- Competitive wages with annual merit-based increases
- Comprehensive benefits including 401(k) with a match, medical, dental, and vision insurance
- Paid time off, parental leave options, and no weekends or holidays
- Opportunity to work remotely within CST or MST time zones
- Supportive company culture that encourages creativity and values employee contributions
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and documenting relevant information
- Perform benefit verification for all patient insurance plans, including coverage of medications and services
- Calculate estimated patient financial responsibility based on benefit verification and payer contracts
- Initiate and secure prior authorizations and pre-determinations, including obtaining clinical documents
- Communicate with patients and referral sources regarding referral status and coverage updates
What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong multitasking abilities in a fast-paced environment while meeting productivity expectations
- Basic proficiency in Microsoft Excel and Word
How to Stand Out (Preferred Qualifications):
- Knowledge of HIPAA regulations
- Familiarity with CPR+ software
- Experience in home infusion benefits verification
#SpecialtyPharmacy #InfusionServices #RemoteWork #HealthcareCareers #DiversityAndInclusion
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
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