The Misch Group
Location
Los Angeles, California
Salary
$35 - $42 / HOUR
The specialist is responsible for verifying insurance coverage and requesting authorizations for home infusion services. They also manage patient profiles and adjudicate pharmacy benefit claims, including Medicare Part D.
Candidates must have prior experience in home infusion and the ability to manage multiple tasks with high attention to detail. Familiarity with HCPCS, ICD-10 coding, and Medicare Part D claims adjudication is preferred.
Description We are seeking an experienced Intake Authorization Specialist with expertise in home infusion and a strong knowledge of HCPCS and ICD-10 coding. The successful candidate will play a vital role in our growing business by ensuring accurate and timely authorization of services and verifying patients' insurance coverage.
Key Responsibilities Verify insurance coverage and benefits for patients. Request authorizations for services as required. Accurately enter patient profiles and medical documents into the pharmacy system. Adjudicate pharmacy benefit claims, including Medicare Part D.
Prior experience in home infusion.
Familiarity with HCPCS and ICD-10 coding. Experience adjudicating pharmacy benefit claims, particularly Medicare Part D. Strong attention to detail with the ability to manage multiple tasks efficiently.
Health, dental, and vision insurance. Paid time off, vacation, and paid holidays. Opportunity for remote work based on qualifications. Competitive salary, negotiable based on experience.
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