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Clearance Specialist
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Job Description
- Req#: 3701863
Employer Industry: Specialty Infusion Pharmacy
Why consider this job opportunity:
- Salary up to $26 per hour
- Competitive wages with annual merit-based increases
- Comprehensive benefits including 401(k) with a match, paid time off, and affordable medical, dental, and vision insurance
- No weekends or holidays, promoting a healthy work-life balance
- Opportunities for professional growth through an education assistance program
- Supportive company culture focused on improving patients' lives
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and benefits, including documenting coverage of medications and infusion services
- Calculate estimated patient financial responsibility based on benefit verification and payer contracts
- Initiate and secure prior authorizations, including reviewing and obtaining necessary clinical documents
- Communicate with patients, referral sources, and other departments regarding referral status and coverage updates
- Generate new patient start of care paperwork and assist patients with financial necessity programs
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
- Basic proficiency in Microsoft Excel and Word; knowledge of HIPAA regulations
How to Stand Out (Preferred Qualifications):
- Familiarity with CPR+ software
- Experience with specialty infusion for prior authorization and benefits verification
#SpecialtyPharmacy #HealthcareJobs #RemoteWork #CareerGrowth #InclusiveWorkplace
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