Remote Clearance Specialist

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Thu, Aug 27, 2020

This job expires in 7 days

Job Category: Customer Service, Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

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