Home Infusion Intake Prior Authorization Specialist

The Misch Group; Los Angeles (CA); Hybrid; USD 33,062 - 55,104; Full time

Benefits offered by this job

Remote work flexibility

Health, dental, vision insurance

Job summary

The Misch Group in Los Angeles seeks an Intake Authorization Specialist with home infusion experience to verify insurance coverage and obtain timely authorizations. The role requires familiarity with HCPCS and ICD-10, experience adjudicating pharmacy benefit claims (Medicare Part D), and precise data entry of patient information to support safe, compliant infusion services.

This full-time position offers competitive hourly pay up to $40, with remote work flexibility based on qualifications and a

Qualifications

• Prior experience in home infusion.
• Familiarity with HCPCS and ICD-10 coding.
• Experience adjudicating pharmacy benefit claims, particularly Medicare Part D.
• Strong attention to detail and ability to manage multiple tasks efficiently.

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.

Job description

Job Title: Intake Authorization Specialist

Job Type: Full-time

Pay: up to $40.00 per hour

Expected Hours: 40 hours per week

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.
• Adjudicate pharmacy benefit claims, including Medicare Part D.

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

• 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.

Benefit Conditions

• Health benefits available after a short waiting period for full-time employees.

All required COVID-19 precautions are followed to ensure safety.

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.