Provider Enrollment Specialist

Supporting a Specialty Infusion Pharmacy, the full-time Infusion Benefit Clearance Specialist will manage patient referrals by verifying insurance eligibility, coordinating benefits, and securing prior authorizations, all while working remotely. Key responsibilities Perform benefit verification for patient insurance plans, documenting coverage for medications and infusion services Calculate estimated patient financial responsibility based on benefit verification and payer contracts Initiate and secure prior authorizations, communicating with patients and referral sources regarding referral status and coverage updates Required qualifications Infusion benefit verification and prior authorization experience required High school diploma or equivalent Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines Basic level skill in Microsoft Excel and Word Knowledge of HIPAA regulations