Clinical Assistant - Fuze Care Services

Fuze Health

5d•$19 - $20•Remote

About The Position

The Clinical Assistant serves as a key operational and client-facing resource supporting hospice pharmacy benefit management services. This role is responsible for ensuring appropriate medication utilization, facilitating claims and prior authorization processes, supporting hospice partners, and maintaining the integrity of clinical and technical systems that enable seamless patient care. Operating at the intersection of clinical support, pharmacy operations, and technology, the Clinical Assistant plays a critical role in reducing administrative barriers, improving medication access, and strengthening relationships with hospice providers.

Requirements

Familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows.
Experience researching medication discrepancies, eligibility issues, and claims-related inquiries.
Demonstrated ability to provide professional, responsive support to healthcare clients and stakeholders.
Ability to learn and navigate multiple software applications, pharmacy systems, and e-prescribing platforms.
Strong verbal and written communication skills with the ability to interact effectively across clinical, operational, and technical teams.
Proven ability to manage multiple priorities, maintain detailed documentation, and work efficiently in a fast-paced environment.
Ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time.
Ability to stoop, bend, and reach for equipment and supplies.
Ability to make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers.
Ability to lift, carry, push, pull, and move light objects up to 20 pounds.
Ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.
Applicants must be authorized to work for any employer in the U.S.

Responsibilities

Review and identify high-cost or therapeutically inappropriate medications prior to claim submission.
Conduct outreach to hospice partners regarding medication alternatives and formulary considerations.
Support efforts to reduce claim rejections, delays, and unnecessary medication-related costs.
Maintain accurate medication profiles, eligibility information, and supporting documentation.
Assist with medication claims research, prior authorization requirements, and claims resolution.
Ensure timely processing workflows to minimize disruptions to patient care.
Provide responsive, high-quality support to hospice staff regarding pharmacy benefit services.
Serve as a trusted resource for workflow, platform, and operational inquiries.
Conduct proactive follow-up to ensure issues are resolved and client needs are addressed.
Support relationship-building efforts through consistent communication and service excellence.
Train and support hospice staff utilizing multiple e-prescribing platforms.
Troubleshoot technical issues and system access concerns to prevent prescribing delays.
Promote effective platform utilization and user adoption across hospice partners.
Manage multiple work queues, requests, and support activities while maintaining service-level expectations.
Document interactions and resolutions thoroughly to facilitate effective team collaboration and continuity of service.
Maintain current provider, user, and organizational profiles to prevent workflow disruptions.
Ensure medication records, user profiles, and system data remain accurate, complete, and up to date.
Maintain working knowledge of proprietary and third-party pharmacy technology platforms.
Identify and escalate data discrepancies, integration issues, or system concerns to appropriate stakeholders.
Act as a liaison between hospice staff, clinical pharmacists, operations teams, and technical support personnel.
Participate in cross-functional problem-solving and issue resolution efforts.
Contribute to a consistent, high-quality client support experience across all service channels.

Benefits

dental
vision
multiple group medical plans to choose from
a 401(k) retirement savings plan
group life insurance
accidental death and dismemberment (AD&D) insurance
flexible spending account (FSA)
health savings account (HSA)
commuter benefits
employer-paid short-term (STD) and long-term disability (LTD) insurance
additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
flexible vacation time
accrued paid sick time
10 paid holidays
(2 floating holidays for full time non-exempt employees)
eight weeks of paid parental leave for eligible employees
additional paid weeks for the birthing parent
4 weeks paid caregiver leave
a Lifestyle Spending Account allowance each month