Clinical Review Coordinator Specialty Remote
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Job Location:
Englewood, CO - USA
Hourly Salary:
$ 24 - 28
Posted on:
7 hours ago
Vacancies:
1 Vacancy
Job Summary
Our Company
Amerita
Overview
The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience.
Schedule:
Monday - Friday
8:30am - 5:30pm
Competitive Pay
Health Dental Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance
Responsibilities
- On-board all new specialty infusion referrals
- Manage relationships with internal customers to ensure effective workflow
- Reviews referral documents and updates information in the patients demographics
- Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria
- Works closely with sales partners to ensure completeness of submitted referral information
- Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients
- Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service
- Supervisory Responsibility: No
Qualifications
EDUCATION/EXPERIENCE
Pharmacy Technician background
Recent three to five (3-5) years of experience in specialty pharmacy home infusion and/or home health
Experience in Microsoft BI. Experience in Outlook Word and PowerPoint desired
LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
State pharmacy technician licensure
PTCB certified technician credentials preferred
KNOWLEDGE/SKILLS/ABILITIES
Ability to work effectively within a multidisciplinary team
TRAVEL REQUIREMENTS
Percentage of Travel: 0-25%
**To perform this role will require sitting and typing on a keyboard with fingers for an extensive amount of time and occasionally standing walking bending and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business
Salary Range
Required Experience:
IC
Key Skills
- CSS
- Cloud Computing
- Health Education
- Actuary
- Building Electrician
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
