Authorization Specialist Pharmacy and Infusion Community Nursing Services - 3.8 Salt Lake City, UT Job Details Full-time $20 - $25 an hour 1 hour ago Benefits Paid holidays Disability insurance Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Work from home Employee assistance program Vision insurance 401(k) matching Professional development assistance Life insurance Referral program Paid sick time Qualifications Overseeing health insurance pre-certification Medical office experience ICD-10 Attention to detail Medical terminology Time management Full Job Description Authorization Specialist - Pharmacy and Infusion

• Candidates Must Have:

  Experience working with Pharmacy Insurance Authorization.

• Location:

  Salt Lake City, Utah Hybrid/Remote Option Available After Successful Completion of Training (3 months in-office), Based on Business Needs and Performance.
• About Community Nursing Services (CNS): Community Nursing Services (CNS) is a leading provider of home health and hospice care across Utah, serving 90% of the state's population through 9 offices.

We are a mission-driven organization that offers high-quality care to our patients and fosters a supportive environment for our employees.

Position Overview:

The Pharmacy and Infusion Authorization Specialist plays a crucial role in the authorization process for Home Health and Hospice services. This position involves verifying insurance benefits, including Medicaid and Medicare, collaborating with clinical teams, and ensuring that our patients receive the appropriate care they need. This position offers a set schedule of Monday through Friday from 8:30 AM to 5:00 PM, with the potential to work from home after completing training. Candidates must be based in Utah to attend meetings and training in person when necessary.

• Potential for hybrid/remote work after successfully completing 3 months of in-office training.

Candidates must reside in Utah and be available to work on-site at 2830 S Redwood Rd, West Valley City, UT 84119, as needed based on business requirements.

Benefits:

27 total benefit days, first year: Health, Dental, and Vision insurance (eligible after the first full month of employment) 13 days of vacation pay per year 7 paid holidays 7 days of paid sick leave per year Retirement match program Tuition reimbursement -

AND MORE Key Responsibilities:

Verify insurance benefits and pre-authorize in Pharmacy and Infusion IV services for patients. Work closely with clinical teams to ensure that care plans align with insurance requirements. Manage the authorization process for both Medicaid and Medicare patients, ensuring compliance with regulations. Communicate effectively with insurance providers, patients, and clinical teams to address any issues related to authorization and care. Maintain accurate records and documentation in the system. Assist with inquiries from patients and providers related to insurance coverage and authorization status.

Qualifications:

Previous experience in a medical office setting, preferably in insurance authorization or pre-authorization roles. Previous experience working with commercial insurance companies. In-depth knowledge of Medicaid, Medicare, and insurance verification processes. Familiarity with Medicare Part D plans. Familiarity with ICD-10 and HCPC codes. Strong understanding of medical terminology. Excellent communication and interpersonal skills with the ability to collaborate across departments. Strong organizational, time-management, and multitasking skills, with the ability to meet deadlines in a fast-paced environment. Proficiency in computer data entry and experience with medical software. Detail-oriented with critical thinking and problem-solving abilities. Ability to work independently and as part of a team. How to

Apply:

If you are passionate about making a difference in the lives of patients and meet the qualifications above, we invite you to apply and join our dynamic team at Community Nursing Services.

• Please note that this Job Summary and Essential Duties and Responsibilities as outlined are the general nature and level of work to be performed. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of the employee.
• Please note that some benefits may only be available to full-time employees and/or certain employee classifications.

Candidates must be able to pass a drug test and criminal background check. Interested applicants may apply in person or by replying to this ad. EOE - We are committed to ensure fair and equal treatment for everyone we employ and are a proud Equal Opportunity Employer.

Job Type:

Full-time Pay:

$20.00 - $25.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Health insurance Life insurance Paid time off Professional development assistance Referral program Tuition reimbursement Vision insurance

Work Location:

Hybrid remote in Salt Lake City, UT