Role OverviewThe ideal candidate will have experience in the healthcare industry, specifically in specialty infusion benefit verifications, medication authorizations, and be able to work in a fast-paced environment. The position will entail the creation of EMR notes, submission of electronic faxes, follow up and logging of recertification documentation from physician offices via CPR+ or Caretend software; as well as the timely communication with patients, physician offices, and sales team of auth requests assigned to payers.
What You Will Do
Benefit Verification for Insurance Changes, Therapy Changes & Dose Changes, New / ReAuthorization under new insurance plan for insurance changes, New / ReAuthorizations for drug or dose changes under existing plan, Update payor information and binoculars in CPR/Caretend, Update existing orders to show the correct payor in CPR/Caretend, Monthly Verifications, Prior experience with prior authorizations, specialty medications, or third-party payers preferred, Familiarity with electronic medical records, payer portals, and data entry systems, Ability to handle multiple tasks in fast paced, challenging environment, Infusion or DME background is preferred, Clinical, medical office administrative, or related experience preferred, Manage internal email communication to and from other departments, Attend to Urgent / Same Day Requests?
Why It Might Be a Fit
If you are a motivated individual with a passion for providing excellent patient services and have experience and knowledge in specialty infusion medication re-authorizations, we encourage you to apply for this exciting opportunity.
Requirements
- High school diploma or equivalent
- Bachelor’s degree in healthcare field or business is preferred
- Excellent oral and written communication skills
- Appropriate computer skills for the position (Microsoft Office Suite)
- CPR+ and/or Caretend experience is preferred
- Strong work ethics with attention to detail and quality
- Ability to identify and address problem accounts
- Previous experience working with infusion therapy patients is highly desirable
Benefits
- Comprehensive Medical, Dental, and Vision Package
- 401(k) Plan with Company Match
- Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
- Life Insurance: Standard coverage with optional enhancements
- Employee Assistance Program: Free counseling and coaching sessions
- Emotional Well-being and Work-Life Balance Resources
- Short & Long-Term Disability: Company-paid with optional supplements
- Accidental Death and Dismemberment Insurance
- FSA and HSA: Manage healthcare expenses
- Commuter Spending Programs
- Volunteer and Engagement Opportunities
- Employee Referral Bonuses
- Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
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