Clearance Specialist

Location: Remote
Compensation: Salary
Staff Reviewed: Mon, Feb 05, 2024
This job expires in: 9 days

Job Summary

A company is looking for a Clearance Specialist to support Specialty Pharmacy Operations remotely.

Key Responsibilities:
  • Perform benefit verification and document insurance coverage for specialty medications and services
  • Submit and track authorization requests
  • Communicate updates on pending referrals and ensure timely referral processing

Required Qualifications:
  • Specialty Pharmacy/PBM experience
  • Experience with referrals, benefit verifications, and authorizations
  • At least 2 years of home infusion pharmacy and/or medical intake/reimbursement experience preferred
  • High school diploma or equivalent
  • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines

COMPLETE JOB DESCRIPTION

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