The Authorization Specialist is responsible for obtaining initial and renewal authorizations for pharmacy-related therapies. They collaborate with clinicians for documentation, manage quality reviews, and ensure timely follow-ups with insurance companies while demonstrating effective communication and organizational skills.

The Authorization Specialist is responsible for obtaining initial and renewal prior authorizations for therapies from insurance. The role involves collaborating with clinicians, managing quality reviews, ensuring timely follow-ups, and maintaining effective communication with staff and clients. Attention to detail, organizational skills, and a client-focused approach are key.

The Project Manager oversees the implementation of CarepathRx systems and leads project delivery, ensuring reliability and on-time completion. Responsibilities include managing project scope, timelines, budgets, and resources, while collaborating with stakeholders and mitigating risks. Strong technical knowledge, leadership skills, and experience in the healthcare sector are essential for this role.

The Insurance Verification Coordinator manages insurance coverage verification and updates patient demographics in the system. Responsibilities include assisting in training new employees, generating financial responsibility letters, obtaining prior authorizations, and cooperating with staff on reimbursement activities to ensure client satisfaction.

The Insurance Verification Coordinator manages daily functions related to insurance coverage verification, updates patient information, secures reimbursement paperwork, and supports case management. Responsibilities include training new employees, generating financial responsibility letters, and negotiating prices with case managers to ensure patient satisfaction and compliance with insurance requirements.

The Project Manager will lead the migration from CPR+ to CareTend, overseeing all project components such as planning, resource coordination, risk management, and stakeholder communication. This role requires strong organizational and leadership skills to ensure a timely and successful project completion.

The Telepharmacist performs remote pharmacy duties across multiple hospitals, engaging with clinicians to improve patient outcomes. Responsibilities include reviewing medication orders, conducting clinical interventions, and ensuring compliance with regulations. They must learn various pharmacy information systems and maintain accurate records while providing quality care and drug information to clients.

As a Billing Specialist, you will manage the billing and collection of insurance claims, ensuring accuracy and timeliness. Responsibilities include handling third-party billing, processing claims for Home Infusion/Nursing, identifying billing trends, and communicating effectively with various stakeholders.

The Supervisor, Billing oversees the performance and compliance of billing operations staff. Responsibilities include ensuring timely billing, conducting staff meetings, updating the team on contract changes, and resolving billing-related queries. The role demands excellent problem-solving and communication skills, with a focus on quality assurance and productivity.

The Medical Billing Specialist will manage billing and collection of insurance claims, analyze billing issues to recommend corrective actions, ensure accurate billing timeliness, process patient and insurance changes, and identify billing trends. The role requires effective communication with patients and payors, along with familiarity with medical billing practices and guidelines.

The Telepharmacist provides remote pharmacy services, engaging with clinicians to ensure quality patient care. Responsibilities include reviewing medication orders, conducting clinical interventions, documenting actions, and maintaining compliance with pharmacy regulations while leveraging technology for service delivery.

The Reimbursement Manager is responsible for leading a team of Billers and Account Receivable staff, overseeing revenue cycle activities, analyzing claims data to improve processes, and ensuring compliance with regulations. The role involves leadership, coaching, and collaboration with internal teams and outsourced vendors to enhance financial outcomes.

The Resupply Specialist will manage high volume phone calls and process supply orders using Brightree and Snap. Responsibilities include verifying insurance benefits, logging authorizations, maintaining communication with various departments, and assisting with front desk and scheduling duties.

The Resupply Specialist is responsible for processing DME and RESUPPLY orders, verifying patient information and insurance coverage, coordinating deliveries, and providing excellent service to patients and referral sources. The role involves inputting data into the Brightree software, handling calls, and ensuring all necessary forms for equipment and supplies are prepared accurately.

The Sales Director at CarepathRx is responsible for managing client relationships and achieving sales targets in a specialized territory. Key responsibilities include establishing new accounts, maintaining existing relationships, ensuring seamless patient transitions to pharmacy services, and collaborating with operations. The role also involves budget planning, analyzing territory reports, and contributing to sales strategy. An extensive understanding of specialty pharmacy and IVIG products is essential.

The PBM Billing Specialist is responsible for the billing and collection of insurance claims, ensuring accuracy and timeliness. They identify billing issues, maintain productivity levels, process patient and insurance changes, and communicate effectively with various stakeholders to resolve issues while adhering to medical billing practices.

The Supervisor, Revenue Cycle oversees daily revenue cycle operations, ensuring targets are met. This role involves leading staff, analyzing claims data for improvements, maintaining compliance with laws, and providing training and resources. The candidate needs strong management skills with a background in pharmacy revenue cycles.

The Account Manager promotes and maintains seamless patient care from hospitals to home for those needing specialized therapy. Responsibilities include collaborating with healthcare teams, handling patient referrals, performing sales duties, providing patient education, and ensuring adherence to policies while prioritizing patient satisfaction.

The PBM Billing Specialist will be responsible for billing and collection of insurance claims, processing pharmacy benefit claims, identifying billing trends, ensuring accuracy, and communicating effectively with patients and payors. The role requires attention to detail and the ability to meet quality assurance standards.

The Onboarding Coordinator at CarepathRx is responsible for managing clinical activities for specialty patients, including patient communication, medication delivery setup, and order processing. Key duties involve maintaining patient information, providing excellent customer service, and supporting the specialty pharmacy team in onboarding new patients and ensuring compliance with accreditation standards.