Clearance Team Lead
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Clearance Team Lead managing Patient Access team and overseeing benefit verification for specialty home infusion. Remote position with a focus on exceptional patient care and team support.
Responsibilities:
- Provide daily support and guidance to the Patient Access team
- Assist with escalations
- Participate in complex therapy benefit verification and prior authorization submissions
- Perform duties of both the Clearance Specialist and Prior Authorization Coordinator
- Oversee the clearance team’s workload and direct the work of other staff members
- Work autonomously to handle more complex issues related to benefits and authorization within established procedures and practices
- Provide exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
- Ensure new team members understand their roles and responsibilities and provide ongoing training to enhance their skills and knowledge
- Provide necessary guidance, feedback and counseling and may contribute input for performance evaluations
- Create, update and distribute patient access-related reports as needed
Requirements:
- Specialty home infusion benefit verification and prior authorization experience required
- At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
- High School Diploma or equivalent
- Ability to interpret payor contract fee schedules based on NDC and HCPCS units
- Ability to effectively handle multiple priorities within a changing environment
- Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems
- Experience collaborating with internal resources to develop strategies that meet department goals within budget and established timelines
- Intermediate level skills in Microsoft Excel
Benefits:
- Competitive Wages
- 401(k) with a Match
- Referral Bonus
- Paid Time Off
- Great Company Culture
- Annual Merit Based Increases
- No Weekends or Holidays
- Paid Parental Leave Options
- Affordable Medical, Dental, & Vision Insurance Plans
- Company Paid Disability & Basic Life Insurance
- HSA & FSA (including dependent care) Options
- Education Assistance Program
Similar Jobs
CX Team Lead – DTC Brands
CX Team Lead responsible for managing remote customer experience operations with DTC brands. Leading a dedicated team to drive performance and compliance in a supportive, innovative culture.
Government Lending Loan Closing Team Lead
Team Lead overseeing Loan Closing Specialists' daily operations remotely for Government Lending. Ensuring compliance, training, and effective problem-solving across the team.
Senior HubSpot Strategist, Team Lead
Lead the HubSpot service line at ATAK Interactive, a RevOps agency, driving growth through strategic service offerings. Oversee client relationships, implementations, and team collaboration to achieve impactful results.
Long Term Disability Team Lead
Specialist, Long Term Disability Team Lead managing complex claims for Lincoln Financial's Group Protection Organization. Collaborating with peers and supporting other LTD teams while providing technical guidance.
Team Lead, VOE
Team Lead managing VOE Specialists to ensure verification of employment for mortgage applicants. Fostering a high-performance team culture while maintaining operational excellence.
Pre-Award Team Lead
Pre-Award Team Lead overseeing grant and contract proposal processes at Notre Dame. Providing strategic leadership and operational oversight for a high-performing research administration team.
Support Team Lead
Support Team Lead coordinating a team of engineers for application maintenance and reliability. Agile Lab transforms data management with a focus on performance-driven solutions.
Team Lead – Dating Media Buying
Team Lead overseeing media buying operations for a global marketing agency. Driving strategy and performance for high-budget campaigns in a fast-paced environment.
Claims Team Lead – General Liability
Claims Team Lead managing a team of General Liability adjusters at Reserv. Involved in complex claims handling and developing team capabilities in a tech-driven claims organization.
PV Officer, Team Lead – Japanese Fluency Required
Team Lead managing ICSR for pharmacovigilance at PrimeVigilance. Leading a team, ensuring tasks distribution, and cooperating with clients in ICSR management.
PV Officer, Team Lead – Japanese Fluency Required
Team Lead for ICSR management in pharmacovigilance at PrimeVigilance, overseeing operations and supporting clients' project needs. Requires fluency in English and Japanese, and life science qualification.
Behavioral Health Team Lead
Team Lead responsible for managing and supporting the BHCM team at Triplemoon, a digital health platform enhancing family wellness through mental health resources.
System Service Team Lead
Field Service Team Lead managing complex MV drive systems and Synchronous Condenser installations across the US and internationally. Leading a team while maintaining high standards in technical execution and customer partnership.
Team Lead, Member Services
Team Lead responsible for supervising 8–15 call center agents ensuring a high-quality member experience. Delivering coaching, performance management, and operational expectations in a remote-first environment.
No more related jobs available.