Intake Specialist - Specialty Pharmacy

Full Time
Remote
Posted
Job description

Position Summary:

The Intake Specialist is responsible for receiving referrals from various referral sources and ensuring they are processed through the intake process in a timely manner. Obtaining the patient’s benefits, prior authorizations and/or predeterminations, as well as communicating with the patient and their families as well as the referral source to determine their needs, medical history, physical and mental state and special requirements.

Responsibilities:

  • Process orders from referral sources.
  • Respond to phone and fax inquiries.
  • Complete welcome call to new patients.
  • Call insurance to verify patient’s benefits and eligibility for requested services.
  • Identify required documentation necessary by therapy.
  • Obtain all necessary information required to process a prior authorization if applicable.
  • Complete all start of care paperwork.
  • Relay insurance coverage to referral source and patient and discuss financial responsibilities and any need for financial assistance.
  • Patient entry into database.
  • Upload all documents received to patient’s file.
  • Strong analytical skills.
  • Other duties as assigned.

Requirements:

  • Minimum two years experience in specialty pharmacy infusion therapy or related healthcare services.
  • Experience working with healthcare insurance.
  • Strong communication and interpersonal skills.
  • Professional, upbeat, goal-oriented and a self-starter.
  • Organized and adaptable to changing priorities.
  • Customer service experience.
  • Ability to work in a team environment.
  • Ability to work with a sense of urgency.
  • Ability to work in an at home setting.
  • Ability to prioritize tasks.
  • 1-2 years experience with prior authorization management.

Education:

· High School diploma or GED equivalent required.

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

COVID-19 considerations:
This is a remote position working from home. Schedule is Monday through Friday.

Experience:

  • Benefits Investigation: 2 years (Preferred)
  • Specialty Medication: 2 years (Preferred)
  • Medical Insurance: 2 years (Preferred)

Work Location: Remote

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