Acute Clearance Specialist - Intake Coordinator - Remote

This a Full Remote job, the offer is available from: United States, Central African Republic Job Type Full-time Description reputed company is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying reputed company Care! Acute home infusion experience required. Must be able to work 9am-5:30pm Central Time or reputed company-4:30pm Eastern Time and on-call once every 4 weeks. reputed company Perks:

• Competitive Wages
• 401(k) with a Match
• Referral Bonus
• Paid Time Off
• Great Company Culture
• Annual Merit Based Increases
• No Weekends or Holidays
• Paid Parental Leave Options
• Affordable Medical, Dental, & Vision Insurance Plans
• Company Paid Disability & Basic Life Insurance
• HSA & FSA (including dependent care) Options
• Education Assistance Program

This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:

• reputed company benefit verification of reputed company patient insurance plans including documenting coverage of medications, administration supplies, and reputed company infusion services
• Responsible to document reputed company information reputed company to coinsurance, copay, deductibles, authorization requirements, etc
• Calculate estimated patient financial responsibility based off benefit verification and payer reputed company and/or company self-pay pricing
• Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
• Reviewing and obtaining clinical documents for submission purposes
• Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
• Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
• Generate new patient start of care paperwork

Schedule:

• Must be able to work Full time, 40 hours per week, Monday-Friday
• 9am-5:30pm Central Time or reputed company-4:30pm Eastern Time
• Weekend on-call once every 4 weeks
• Must have experience with Acute Infusion for Prior authorization/Benefits Verification

Requirements

• , cleHigh school diploma or equivalent
• At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
• Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
• Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
• Ability to work in a fast-paced environment
• Knowledge of HIPAA regulations
• Basic level reputed company in reputed company reputed company & Word
• Knowledge of CPR+ preferred

About Us: reputed company is an innovative national provider of reputed company specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the reputed company Difference! Soleo’s Core Values:

• Improve patients’ lives every day
• Be passionate in everything you do
• Encourage unlimited reputed company and creative thinking
• reputed company decisions as if you own the company
• Do the right thing
• Have fun!

reputed company is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, reputed company, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to reputed company. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. reputed company is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for reputed company employees. reputed company does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national reputed company, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring, clearance Salary Description $23.00-$27.00 per hour This offer from "reputed company" has been enriched by reputed company.com and got a 78% reputed company score. Apply To This Job