Clinical Review Coordinator / Specialty / Remote

Amerita

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

* 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

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
• Supervisory Responsibility: No

EDUCATION/EXPERIENCE
* 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

LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
* State pharmacy technician licensure
* PTCB certified technician credentials preferred

KNOWLEDGE/SKILLS/ABILITIES
* Ability to work effectively within a multidisciplinary team

TRAVEL REQUIREMENTS
Percentage of Travel: 0-25%

**To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**