Essential Duties and Responsibilities include the following. Other duties may be assigned, as necessary.

• Assists insurance department with continuation authorizations
• Runs benefits & gathers all necessary documents to submit authorizations for commercial insurance
• Checks status daily on pending authorizations
• Conducts patient chart audits
• Maintains current files and other records in accordance with CSI Pharmacy instructions and requirements.
• Makes outreach efforts to insurances, patients, specialist offices and care teams as set forth by department guidelines and clinical priorities.
• Coordinates with Intake personnel and assists with work duties
• Interacts collaboratively with clinical staff and insurance
• Provides accurate data entry of referral or authorization information into the electronic medical record.
• Sends complete information to patient’s insurance (when applicable) and referring specialist to coordinate referral.
• Completes and submits all required reports in a timely manner.
• Complies with all Company policies, instructions, and directives for the fulfillment of company objectives and maximum profitable sales.
• Utilizes operating systems and tools to help manage patient therapy and refill compliance.
• Provides high quality services to home-care patients and to home-care referral sources.
• Attends and participates in conventions, trade shows and in-services relating to IV therapy as appropriate.
• Consistently represents the company in a professional manner.
• Maintains effective working relationships and cooperates with all personnel in the Company.
• Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
• Performs other duties and responsibilities as assigned.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Provides the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible.
• Must possess the ability to multi-task and frequently change direction.
• Analytical and problem-solving skills
• Attention to detail
• Experience working in Microsoft Office, specifically Excel, Outlook, Teams, and Word

Education and/or Experience

• High School Diploma or equivalent GED is required, at minimum. College or technical college preferred
• Minimum one year in pharmacy or healthcare environment
• Knowledge of Medicare, Medicaid, and third-party vendors

  Essential Duties and Responsibilities include the following. Other duties may be assigned, as necessary.

• Assists insurance department with continuation authorizations
• Runs benefits & gathers all necessary documents to submit authorizations for commercial insurance
• Checks status daily on pending authorizations
• Conducts patient chart audits
• Maintains current files and other records in accordance with CSI Pharmacy instructions and requirements.
• Makes outreach efforts to insurances, patients, specialist offices and care teams as set forth by department guidelines and clinical priorities.
• Coordinates with Intake personnel and assists with work duties
• Interacts collaboratively with clinical staff and insurance
• Provides accurate data entry of referral or authorization information into the electronic medical record.
• Sends complete information to patient’s insurance (when applicable) and referring specialist to coordinate referral.
• Completes and submits all required reports in a timely manner.
• Complies with all Company policies, instructions, and directives for the fulfillment of company objectives and maximum profitable sales.
• Utilizes operating systems and tools to help manage patient therapy and refill compliance.
• Provides high quality services to home-care patients and to home-care referral sources.
• Attends and participates in conventions, trade shows and in-services relating to IV therapy as appropriate.
• Consistently represents the company in a professional manner.
• Maintains effective working relationships and cooperates with all personnel in the Company.
• Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
• Performs other duties and responsibilities as assigned.

• Qualification Requirements

  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Provides the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible.
• Must possess the ability to multi-task and frequently change direction.
• Analytical and problem-solving skills
• Attention to detail
• Experience working in Microsoft Office, specifically Excel, Outlook, Teams, and Word

• Education and/or Experience

• High School Diploma or equivalent GED is required, at minimum. College or technical college preferred
• Minimum one year in pharmacy or healthcare environment
• Knowledge of Medicare, Medicaid, and third-party vendors

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients