Employer Industry: Specialty Pharmacy and Infusion Services

Why consider this job opportunity:
- Competitive wages with annual merit-based increases
- 401(k) with company match and referral bonuses
- Comprehensive medical, dental, and vision insurance options
- Paid time off, including parental leave, with no weekend or holiday work
- Supportive company culture focused on employee well-being and growth
- Opportunity to work remotely in the Mountain Standard Time Zone

What to Expect (Job Responsibilities):
- Process new referrals, including verifying patient eligibility and coordinating benefits
- Document all insurance-related information, including coinsurance and authorization requirements
- Calculate estimated patient financial responsibilities based on benefit verification
- Initiate and secure prior authorization and pre-determination requests
- Communicate with patients and referral sources regarding the status of referrals and coverage updates

What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of 2 years of experience in home infusion specialty pharmacy and/or medical intake/reimbursement
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong multitasking ability in a fast-paced environment
- Basic skills in Microsoft Excel and Word, with knowledge of HIPAA regulations

How to Stand Out (Preferred Qualifications):
- Experience with CPR+ software
- Familiarity with interpreting payor contract fee schedules based on NDC and HCPCS units

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