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Clearance Specialist- Central Standard Time Zone
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Job Description
- Req#: 3330017
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 package including 401(k) with a match, medical, dental, and vision insurance
- Paid time off, including parental leave options, with no weekends or holidays required
- Opportunity to work remotely while supporting infusion patients and improving their lives
- Supportive company culture that encourages creativity and values employee input
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and coordinating benefits
- Document coverage of medications, administration supplies, and related infusion services
- Calculate estimated patient financial responsibility based on benefit verification
- Initiate and secure prior authorizations, including reviewing and obtaining necessary 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 experience in home infusion specialty pharmacy and/or medical intake/reimbursement
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong multitasking abilities to manage numerous referrals while meeting productivity expectations
- Basic proficiency in Microsoft Excel and Word, with knowledge of HIPAA regulations
How to Stand Out (Preferred Qualifications):
- Familiarity with CPR+ software
- Experience in handling specialty infusion prior authorization and benefits verification
#SpecialtyPharmacy #InfusionServices #RemoteWork #HealthcareCareers #DiversityAndInclusion
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