9 days ago

Clearance Specialist - Intake Coordinator

CareStream Advisory Group

Hybrid
Full Time
$54,080
Hybrid

Job Overview

Job TitleClearance Specialist - Intake Coordinator
Job TypeFull Time
CategoryCommerce
Experience5 Years
DegreeMaster
Offered Salary$54,080
LocationHybrid

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Job Description

About CareStream Advisory Group

CareStream Advisory Group's mission is to help healthcare professionals find rewarding opportunities that align with their care philosophy. We are not a staffing firm or agency. CareStream does not hire for these positions—we identify and validate them from healthcare employers directly.

Employer Industry: Specialty Pharmacy and Infusion Services

Why Consider This Clearance Specialist - Intake Coordinator Opportunity

  • Salary up to $26.00 per hour
  • Competitive wages and annual merit-based increases
  • Opportunity for career advancement within an innovative company
  • Flexible remote work option, allowing you to work from anywhere in the U.S.
  • Comprehensive benefits package including medical, dental, vision insurance, and 401(k) with a match
  • Supportive company culture that emphasizes employee well-being and development

What To Expect as a Clearance Specialist - Intake Coordinator (Job Responsibilities)

  • Process new referrals by verifying patient eligibility and coordinating benefits
  • Conduct benefit verification for all patient insurance plans and document coverage details
  • Calculate estimated patient financial responsibility based on benefit verification
  • Initiate and secure prior authorization and medical review, including obtaining clinical documents
  • Communicate with patients and referral sources regarding referral status and coverage updates

What Is Required (Qualifications)

  • High school diploma or equivalent
  • At least 2 years of experience in home infusion specialty pharmacy and/or medical intake/reimbursement
  • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
  • Strong multitasking ability in a fast-paced environment while meeting productivity expectations
  • Knowledge of HIPAA regulations and basic skills in Microsoft Excel and Word

How To Stand Out (Preferred Qualifications)

  • Familiarity with CPR+ software
  • Experience with prior authorization and benefits verification in home infusion settings

Key skills/competency

  • Patient Eligibility
  • Benefit Verification
  • Prior Authorization
  • Medical Review
  • Reimbursement Guidelines
  • Medicare/Medicaid
  • HIPAA
  • Microsoft Excel
  • Multitasking
  • Communication Skills

Tags:

Clearance Specialist
Intake Coordinator
patient eligibility
benefit verification
prior authorization
medical review
reimbursement
HIPAA
communication
multitasking
referral processing
coverage updates
CPR+
Microsoft Excel
Microsoft Word

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How to Get Hired at CareStream Advisory Group

  • Research CareStream Advisory Group's culture: Study their mission, values, recent news, and employee testimonials on LinkedIn and Glassdoor.
  • Tailor your resume for Intake Coordinator roles: Highlight experience in benefit verification, prior authorization, and specialty pharmacy reimbursement.
  • Showcase your communication skills: Prepare examples of how you effectively communicate complex insurance information to patients and referral sources.
  • Demonstrate regulatory knowledge: Emphasize your working knowledge of Medicare, Medicaid, managed care, and HIPAA regulations.
  • Prepare for remote work discussions: Be ready to discuss your experience and strategies for successful remote collaboration and productivity.

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