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.

SKILLS, KNOWLEDGE AND EXPERTISE

• Required: Prior experience in home infusion.
• Preferred: 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.

• 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.