Intake & Prior Authorization Specialist - Home Infusion Job at Confidential, Washington DC

Vk9RR1l3MHFXayt0WHlqZVdDYjlyZ0k4Tmc9PQ==
  • Confidential
  • Washington DC

Job Description

Salary:
$24.00–$30.00+ per hour (Flexible based on experience) + benefits

Job Summary:

We are seeking a highly organized, compassionate, and detail-oriented Intake Coordinator to join a growing Specialty Pharmacy/Home Infusion team in Tacoma, WA. This role serves as a key liaison between patients, providers, insurance companies, and clinical staff to ensure a seamless onboarding experience and timely initiation of therapy.

The ideal candidate will have prior experience in a Specialty Pharmacy or Home Infusion setting and possess strong knowledge of insurance verification, prior authorizations, patient communication, and referral management. This individual thrives in a fast-paced healthcare environment and is passionate about delivering exceptional patient care and customer service.

Job Responsibilities:

  • Receive, process, and coordinate new patient referrals for specialty pharmacy and home infusion services.
  • Verify insurance benefits, eligibility, coverage details, and patient financial responsibility.
  • Obtain and manage prior authorizations, reauthorizations, and supporting clinical documentation.
  • Coordinate communication between physicians, nurses, pharmacists, patients, and insurance carriers to facilitate timely therapy initiation.
  • Conduct patient onboarding calls and provide ongoing patient communication and support.
  • Perform wellness checks, refill coordination, and follow-up calls as needed.
  • Review referral documentation for completeness and communicate with provider offices regarding missing information.
  • Maintain accurate and timely documentation within pharmacy software and EMR systems.
  • Assist with scheduling deliveries, nursing visits, and patient care services.
  • Support billing and reimbursement processes through accurate documentation and communication.
  • Resolve intake-related issues proactively and escalate concerns when appropriate.
  • Ensure compliance with HIPAA and all applicable healthcare regulations.
  • Collaborate closely with pharmacy, nursing, reimbursement, and administrative teams to ensure continuity of care and positive patient outcomes.

Qualifications:

  • Minimum 1-2 years of experience as an Intake Coordinator, Patient Access Representative, Insurance Verification Specialist, Prior Authorization Specialist, or similar role within a Specialty Pharmacy or Home Infusion environment .
  • Experience working with Medicare, Medicaid, commercial insurance plans, and specialty pharmacy benefit plans.
  • Strong understanding of insurance verification, authorization workflows, and reimbursement processes.
  • Excellent communication, customer service, organizational, and multitasking skills.
  • High attention to detail and strong problem-solving abilities.
  • Proficiency with EMR systems, pharmacy software, and Microsoft Office applications.
  • Pharmacy Technician License is a plus but not required.
  • Home Infusion or Specialty Pharmacy experience is strongly preferred and will be prioritized.

About the Company:

Our client is a growing healthcare organization specializing in home infusion and specialty pharmacy services. Their mission is to deliver exceptional patient care through clinical excellence, personalized service, and strong provider partnerships. The organization offers a collaborative, team-oriented environment with opportunities for professional growth and advancement while making a meaningful impact on patient outcomes.

Job Tags

Hourly pay, Work at office, Flexible hours

Similar Jobs

Carter Myers Automotive

General Sales Manager - Honda of Martinsburg Job at Carter Myers Automotive

 ...September 1! We're looking for an General Sales Manager to join our team. Candidates must have 5+ years of stable and progressive automotive sales management experience. This is a unique opportunity to join the dealership's leadership team during the development... 

Element Care

Project Mgr-Clinical+Operational Innovations Job at Element Care

 ...support project success. Performs other duties as assigned. Job Specification: Bachelors degree in a work-related discipline/field (e.g., Business, Data Science, Operations Management, Finance, or equivalent) from an accredited college is required. Masters... 

Central Peninsula Hospital

RN - Clinical Informatics Job at Central Peninsula Hospital

 ...RN - Clinical Informatics Now Offering a Critical Position Bonus & Relocation Assistance!Receive a $10,000 bonus for a one-year commitment or a $25,000 bonus for a two-year commitment to this essential role. This position is also eligible for relocation... 

Safe Harbor Wills and Trusts

Attorney At Law Job at Safe Harbor Wills and Trusts

 ...Safe Harbor Wills & Trusts is a growing estate planning and elder law firm serving families throughout Central and Northern New York. We help clients protect what they have built, prepare for the unexpected, and make difficult legal and financial decisions with greater... 

Senior Helpers - North & Southwest Houston

Caregiver Job at Senior Helpers - North & Southwest Houston

 ...Begin a remarkable career that will make a difference in the lives of seniors. Senior Helpers of North Houstonis urgently hiring for caregivers! If you have experience working in assisted living facilities, independent living facilities, senior living facilities, nursing...