Patient Intake Coordinator – Specialty Pharmacy (Per Diem)
Core
Drug access liaison specialist supporting patients, caregivers, and providers in navigating insurance benefits for injectable therapies administered in hospital clinics, infusion centers, and home settings.
Role type
Patient Intake Coordinator (Specialty Pharmacy)
Builds
Prior authorizations and drug access pathways for injectable therapies
Domain
Healthcare / Specialty Pharmacy / Insurance Billing
Deliverable
client delivery
Required skills
Medical terminology, medical billing coding (provider/home infusion/hospital), insurance benefits navigation, prior authorization management, Medicare/Medicaid policy knowledge, data reporting, audit support
Preferred skills
Pharmacy Technician National Certification, experience in healthcare settings (physician practice/patient assistance programs), knowledge of operational processes in physician offices/infusion centers
Technologies
Microsoft Office (Excel, Word, Outlook), Electronic Medical Records (EMR)
Responsibilities
Review patient insurance benefits to navigate drug access barriers; Triage and coordinate patients to appropriate site of care; Gather medical information and submit timely prior authorization; Identify and correct medical coding billing errors; Provide assistance for payer audits; Screen patients for medical necessity based on Medicare LCD/NCD requirements
Seniority
Mid-level, hands-on IC
