Intake & Insurance Authorization Specialist

TwelveStone Health Partners; Murfreesboro (TN); On-site; USD 40,000 - 60,000; Full time

Job summary

A health organization seeks a full-time Intake Specialist II in Murfreesboro, TN. This role involves managing patient referrals, verifying insurance coverage, and obtaining necessary documentation for medication. An ideal candidate will have a High School Diploma, a Pharmacy Technician license, and one to two years of relevant experience. Strong attention to detail and communication skills are essential. Join our team to support patients with chronic conditions in a collaborative environment.

Qualifications

• High School Diploma or GED is required.
• Current, unrestricted Pharmacy Technician license in the state of practice and Pharmacy Technician certification preferred.
• One to two years of related intake or medical office experience required.
• IV/Specialty Pharmacy Experience preferred.
• Knowledge of HCPC coding and medical/pharmacy terminology preferred.
• Medical ERM knowledge is required.

Responsibilities

• Manage email, fax, and web portals for new referrals.
• Verify insurance coverage to determine patient OOP.
• Obtain documentation to ensure products ordered meet insurance requirements.
• Coordinate with authorization counterparts for insurance authorization.
• Capture all relevant information in internal systems.
• Arrange nursing as needed for patients with various nursing agencies.

Skills

Attention to detail

Critical thinking

Problem solving

Approachability

Phone etiquette

Dependability

Verbal communication

Written communication

Teamwork

Cooperation

Collaboration

Education

High School Diploma or GED

Current Pharmacy Technician license

Pharmacy Technician certification (CPhT)

Professional license (LPN, Medical Assistant)

Tools

Medical software

Job description

A health organization seeks a full-time Intake Specialist II in Murfreesboro, TN. This role involves managing patient referrals, verifying insurance coverage, and obtaining necessary documentation for medication. An ideal candidate will have a High School Diploma, a Pharmacy Technician license, and one to two years of relevant experience. Strong attention to detail and communication skills are essential. Join our team to support patients with chronic conditions in a collaborative environment.