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Clearance Specialist
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Job Description
- Req#: 3596496
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
- Opportunity for career advancement within a supportive company culture
- Work remotely from anywhere in the USA
- Comprehensive benefits including medical, dental, and vision insurance, 401(k) with a match, and paid parental leave
- No weekends or holidays required, promoting work-life balance
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and coordinating benefits
- Document all insurance-related information, including coinsurance, copays, and deductibles
- Calculate estimated patient financial responsibility based on benefit verification
- Initiate and secure prior authorizations and medical reviews, 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 experience in home infusion specialty pharmacy or medical intake/reimbursement
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong ability to multitask and manage priorities in a fast-paced environment
- Basic proficiency in Microsoft Excel and Word; knowledge of HIPAA regulations
How to Stand Out (Preferred Qualifications):
- Experience with CPR+ software
- Familiarity with specialty infusion prior authorization and benefits verification processes
#SpecialtyPharmacy #InfusionServices #RemoteWork #CareerOpportunity #HealthcareJobs
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