Infusion Intake Coordinator

CLS Health PLLC•Webster, TX

About The Position

About CLS Health CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! We are looking for: We are looking for an experienced Infusion Intake Coordinator with a strong background in infusion and injectable specialty medications. The right candidate knows how to navigate complex insurance benefits, secure and appeal prior authorizations, and connect patients with financial assistance programs including manufacturer copay cards, PAPs, and foundation grants.

Requirements

2+ years in prior authorization or benefits coordination for specialty medications
Hands-on experience with infusion and/or injectable biologics or specialty therapies
Strong knowledge of copay assistance programs, PAPs, and accumulator programs
Familiarity with both medical and pharmacy benefit structures
Experience in a specialty pharmacy, infusion center, or physician office preferred

Responsibilities

Initiate and manage prior authorizations for infusion and injectable specialty drugs across commercial, Medicare, and Medicaid plans
Investigate benefits and determine whether drugs fall under medical or pharmacy benefit
Submit PA appeals and support peer-to-peer review requests
Enroll patients in copay assistance programs, PAPs, and foundation grants; navigate copay accumulator/maximizer impacts
Collaborate with providers, payers, specialty pharmacies, and infusion centers
Maintain accurate documentation in EHR and hub platforms (e.g., CoverMyMeds, ConnectiveRx)
Perform other duties as assigned