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Clearance Specialist- National Central Standard or Mountain Standard
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Job Description
- Req#: 3365404
Employer Industry: Specialty Pharmacy and Infusion Services
Why consider this job opportunity:
- Salary up to $25.00 per hour
- Comprehensive benefits including affordable medical, dental, and vision insurance plans
- 401(k) with a match and annual merit-based increases
- Paid time off, including paid parental leave options, with no weekends or holidays
- Supportive company culture focused on employee well-being and career development
- Opportunity to work fully remote within Central or Mountain Standard Time Zones
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility, coordinating benefits, and identifying estimated out-of-pocket costs
- Document all insurance-related information, including coinsurance, copays, and authorization requirements
- Calculate estimated patient financial responsibility based on benefit verification and payer contracts
- Initiate and follow up on prior authorization requests, including reviewing clinical documents for submissions
- Communicate with patients and referral sources regarding referral status, coverage, and other 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
- Ability to multitask and maintain productivity in a fast-paced environment
- Basic proficiency in Microsoft Excel and Word
How to Stand Out (Preferred Qualifications):
- Knowledge of CPR+ software
- Experience with benefit verification and prior authorization for specialty infusion services
#SpecialtyPharmacy #InfusionServices #RemoteWork #HealthcareCareers #EqualOpportunityEmployer
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