Infusion Clearance Specialist

Job Summary

Supporting a Specialty Infusion Pharmacy, the full-time Infusion Clearance Specialist will manage patient referrals by verifying insurance benefits, processing prior authorizations, and communicating with patients and healthcare providers in a fully remote capacity.

Key responsibilities:

• Perform benefit verification for patient insurance plans and document coverage details
• Initiate and secure prior authorizations, including obtaining necessary clinical documents
• Calculate estimated patient financial responsibilities based on benefit verification

Required qualifications:

• Experience in infusion benefit verification and prior authorization
• High school diploma or equivalent
• Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
• Basic proficiency in Microsoft Excel and Word
• Knowledge of HIPAA regulations