Clearance Specialist - Insurance Intake Coordinator

📋 Description

• Process new patient referrals, including insurance eligibility verification, test claim
• Perform detailed benefit verification for insurance plans, documenting coverage for medications
• Record and maintain accurate information regarding coinsurance, copayments, deductibles
• Calculate estimated patient out-of-pocket responsibility based on verified benefits, payer
• Initiate, monitor, follow up on, and secure prior authorizations, pre-determinations, and medical
• Review clinical documentation and coordinate the collection of required materials for payer

🎯 Requirements

• At least 2 years of experience in home infusion specialty pharmacy intake is required.
• Hands-on experience with prior authorizations, insurance benefit verification, test claim
• High school diploma or equivalent.
• Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines.
• Ability to interpret payer contract fee schedules using NDC and HCPCS units.
• Strong understanding of insurance coverage, authorization requirements, patient financial

🎁 Benefits

• Hourly compensation of $23–$27.
• Fully remote position within the United States.
• Full-time Monday–Friday schedule with no weekends or holidays.
• 401(k) plan with employer matching.
• Paid time off.
• Paid parental leave options.