Remote Specialty Clearance & Intake Specialist

Jobgether; Oregon; Hybrid; USD 32,000 - 37,000; Full time

Benefits offered by this job

Remote work (US)

401(k) employer matching

PTO

No weekend or holiday shifts

Parental leave

Medical, dental, vision insurance

Disability and basic life insurance

HSA and FSA

Employee referral bonus

Annual merit-based increases

Education assistance

Collaborative culture

Job summary

Jobgether is seeking a Specialty Clearance Specialist - Intake for a fully remote position based in the United States. You will coordinate patient referrals, verify insurance, perform benefit checks, and manage prior authorizations to ensure timely access to infusion therapies.

The role requires meticulous attention to detail and strong communication with patients, providers, and internal teams. You will leverage your home infusion/pharmacy intake experience to document coverage, calculate

Qualifications

• 2+ years in home infusion or specialty pharmacy intake with prior authorizations and benefit verification.
• Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines.
• Ability to interpret payer contracts using NDCs and HCPCS units.
• HIPAA regulations and patient confidentiality are essential.

Responsibilities

• Process new patient referrals by verifying insurance eligibility and coordinating benefits.
• Perform benefit verifications for medications and infusion services, documenting coverage details.
• Review copayments, coinsurance, deductibles, prior authorization requirements, and reimbursement information.
• Run test claims and estimate patient out-of-pocket costs using payer contracts and self-pay pricing.
• Initiate and follow up on prior authorizations and medical reviews.
• Obtain clinical documentation for authorization submissions and reimbursement processes.
• Communicate referral status and coverage updates to patients and providers.
• Identify patients needing financial assistance and facilitate copay assistance programs.
• Generate start-of-care documentation and intake paperwork.

Skills

Communication skills

Organization

Multitasking

Attention to detail

Interpersonal skills

Education

High school diploma or equivalent

Tools

Excel

Word

CPR+ familiarity

Job description

Jobgether is seeking a Specialty Clearance Specialist - Intake for a fully remote position based in the United States. You will coordinate patient referrals, verify insurance, perform benefit checks, and manage prior authorizations to ensure timely access to infusion therapies.

The role requires meticulous attention to detail and strong communication with patients, providers, and internal teams. You will leverage your home infusion/pharmacy intake experience to document coverage, calculate