Job Summary
A medical services company is filling a position for a Remote Clearance Specialist.
Individual must be able to fulfill the following responsibilities:
- Receive medication referrals and collect insurance information
- Obtain detailed medical insurance and benefit information to maximize plan benefits
- Review clinical documents for prior authorization/pre-determination submission purposes
Applicants must meet the following qualifications:
- Bachelor’s degree and at least 2 years of healthcare intake/admissions and/or reimbursement experience
- OR a high school diploma and at least 4 years of healthcare intake/admissions and/or reimbursement experience
- Previous Acute Infusion Intake/Clearance experience
- At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
- Intermediate level skill in Microsoft Excel, Word, and PowerPoint
