Home Infusion Authorization Intake Specialist

Stone Hendricks Group; Los Angeles (CA); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player in home infusion and specialty pharmacy services is seeking an Intake Authorization Specialist. This role is crucial in ensuring accurate authorization of services and verifying insurance coverage for patients. The ideal candidate will have a strong background in home infusion, with knowledge of HCPCS and ICD-10 coding. Join a team dedicated to providing individualized care and outstanding clinical outcomes, and enjoy benefits like health insurance, paid time off, and remote work opportunities based on qualifications. If you are detail-oriented and thrive in a fast-paced environment, this position is perfect for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Vacation

Paid Holidays

Remote Work Opportunities

Qualifications

• Prior experience in home infusion is essential for this role.
• Familiarity with HCPCS and ICD-10 coding is preferred.

Responsibilities

• Verify insurance coverage and benefits for patients.
• Request authorizations for services as required.
• Accurately enter patient profiles and medical documents.

Skills

Home Infusion Experience

HCPCS Coding

ICD-10 Coding

Pharmacy Benefit Claims Adjudication

Attention to Detail

Job description

Home Infusion Authorization Intake Specialist

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Company Overview:

Founded in 2013, our company is a premier provider of home infusion and specialty pharmacy services. We are accredited by the Accreditation Commission for Health Care (ACHC), which confirms that we meet and exceed the highest performance standards for patient care. Our commitment to individualized care and outstanding clinical outcomes has made us a leader in our field.

What is Infusion Therapy?

Infusion therapy involves administering medication through a vein, typically for conditions that cannot be treated effectively with oral medications. This includes intravenous compounds, intramuscular injections, epidural routes, and more.

Job 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.

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.

Qualifications:

• 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 include health, dental, and vision insurance, paid time off, vacation, paid holidays, remote work opportunities based on qualifications, and a competitive salary negotiable based on experience.

Equal Opportunity Employer

We are an equal opportunity employer and do not discriminate based on race, color, religion, gender, sexual orientation, age, national origin, disability, or marital status in any of our activities or operations.

Additional Details:

• Seniority level: Associate
• Employment type: Full-time
• Job function: Administrative
• Industries: Hospitals and Health Care, Retail Pharmacies