Clearance Specialist

Job Summary

A company is looking for a Clearance Specialist - Intake Coordinator to support their Specialty Infusion Pharmacy remotely.

Key Responsibilities

• Process new referrals by verifying patient eligibility and documenting insurance coverage
• Calculate estimated patient financial responsibility and secure prior authorization as needed
• Communicate with patients and other stakeholders regarding referral status and coverage updates

Required Qualifications

• High school diploma or equivalent
• At least 2 years of experience in home infusion specialty pharmacy
• Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
• Basic proficiency in Microsoft Excel and Word
• Knowledge of HIPAA regulations