Clinical Review Coordinator / Specialty / Remote
Amerita•Centennial, CO
37d•$24 - $28•Remote
About The Position
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
Requirements
- 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
- State pharmacy technician licensure
- PTCB certified technician credentials preferred
- Ability to work effectively within a multidisciplinary team
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 patient’s 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
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
501-1,000 employees
