Home Infusion Authorization Intake Specialist
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AI Summary
The specialist is responsible for verifying patient insurance coverage and requesting necessary authorizations for home infusion services. They also manage the entry of medical documents into the pharmacy system and adjudicate pharmacy benefit claims.
Home Infusion Authorization Intake Specialist
Department: Healthcare & Life Sciences
Employment Type: Full Time
Location: California
Compensation: $35.00 - $42.00 / hour
Description
We are seeking an experienced Intake Authorization Specialist with expertise in home infusion and a strong knowledge of HCPCS and ICD-10 coding. The successful candidate will play a vital role in our growing business by ensuring accurate and timely authorization of services and verifying patients' insurance coverage.
Key Responsibilities
- Verify insurance coverage and benefits for patients.
- Request authorizations for services as required.
- Accurately enter patient profiles and medical documents into the pharmacy system.
- Adjudicate pharmacy benefit claims, including Medicare Part D.
Skills, Knowledge and Expertise
- Required: Prior experience in home infusion.
- Preferred: Familiarity with HCPCS and ICD-10 coding.
- Experience adjudicating pharmacy benefit claims, particularly Medicare Part D.
- Strong attention to detail with the ability to manage multiple tasks efficiently.
Benefits
- Health, dental, and vision insurance.
- Paid time off, vacation, and paid holidays.
- Opportunity for remote work based on qualifications.
- Competitive salary, negotiable based on experience.
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