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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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