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Home Infusion Authorization Intake Specialist

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Home Infusion Authorization Intake Specialist Department: Healthcare & Life Sciences Employment Type: Full Time Location: California Compensation: $35.00 - $40.00 / 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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