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Clearance Specialist - Intake Coordinator
6 days agoWhat's your preference?
Job Description
- Req#: 3651762
Employer Industry: Specialty Pharmacy and Infusion Services
Why consider this job opportunity:
- Salary up to $26.00 per hour
- Competitive wages and annual merit-based increases
- Opportunity for career advancement within an innovative company
- Flexible remote work option, allowing you to work from anywhere in the U.S.
- Comprehensive benefits package including medical, dental, vision insurance, and 401(k) with a match
- Supportive company culture that emphasizes employee well-being and development
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and coordinating benefits
- Conduct benefit verification for all patient insurance plans and document coverage details
- Calculate estimated patient financial responsibility based on benefit verification
- Initiate and secure prior authorization and medical review, 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
- At least 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 ability in a fast-paced environment while meeting productivity expectations
- Knowledge of HIPAA regulations and basic skills in Microsoft Excel and Word
How to Stand Out (Preferred Qualifications):
- Familiarity with CPR+ software
- Experience with prior authorization and benefits verification in home infusion settings
#SpecialtyPharmacy #InfusionServices #RemoteWork #CareerOpportunity #CompetitivePay
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