Home Infusion Authorization Intake Specialist
The Misch Group·Los Angeles, California
The Misch Group·Los Angeles, California
The specialist is responsible for verifying patient insurance coverage and requesting necessary authorizations for home infusion services. They also manage the entry of medical documents into the pharmacy system and adjudicate pharmacy benefit claims.
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.
Candidates must have prior experience in home infusion and the ability to manage multiple tasks with high attention to detail. Proficiency in HCPCS and ICD-10 coding, as well as experience with Medicare Part D claims, is preferred.
Market context
California pharmacy roles typically stay competitive because employers look for candidates who already hold a BS Pharmacy or Pharm.D., a valid California Pharmacist License, and current BLS and ACLS certifications. These positions can also require additional board-style certification within two years, so applicants with closely matched credentials and recent clinical experience often stand out. Review the AI-summarized requirements and benefits here to quickly confirm fit, then verify your license and certifications before applying.