Home Infusion Authorization Intake Specialist

The Misch Group

$72K — $87K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Prior experience in home infusion required.
  • Familiarity with HCPCS and ICD-10 coding preferred.
  • Experience with adjudicating pharmacy benefit claims, especially Medicare Part D.
  • Strong attention to detail and multitasking skills.

Responsibilities

  • Verify insurance coverage and benefits for patients.
  • Request authorizations for services as needed.
  • Enter patient profiles and medical documents accurately into the pharmacy system.
  • Adjudicate pharmacy benefit claims, including Medicare Part D.

Benefits

  • Health, dental, and vision insurance.
  • Paid time off, vacation, and paid holidays.
  • Opportunity for remote work based on qualifications.
Full Job Description
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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