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CarepathRx

via Workday

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Documentation Authorization Specialist

Anywhere
full-time
Posted 9/9/2025
Direct Apply
Key Skills:
Team Player
Client Satisfaction
Confidentiality
Customer Service
Verbal Communication
Written Communication
Computer Literacy
Organizational Skills
Attention to Detail
Multitasking

Compensation

Salary Range

$Not specified

Responsibilities

Responsible for issuing initial and renewal authorizations to nursing agencies for skilled infusion visits and generating necessary billing documentation. Collaborates with other departments to confirm patient status and ensures timely follow-up on billing documentation.

Requirements

A high school diploma or GED is required along with at least 1 year of relevant experience in a healthcare setting. Knowledge of medical terminology and proficiency in Microsoft Office products are also necessary.

Full Description

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: Responsible for issuing initial authorization and renewal authorizations to nursing agencies for skilled infusion visits. Responsible for the generation and follow up of needed billing documentation. Responsibilities Issuing of initial and renewal authorizations to nursing agencies who are contracted or have letter of agreement on file to perform home infusion nursing visits for patients. Issues initial and renewal authorizations in a timely manner. Generates letters of agreement to uncontracted nursing agencies when applicable. Interface with other departments as needed to confirm bundled or unbundled patient status. Generates billing documentation based on payer, utilization of Insurances Requiring Signed Plan of Treatment list. Timely follow up of billing documentation, collaboration with billing department and physician offices. Ensures timely filling of billing documentation into electronic filing system. Takes the initiative to present ideas/suggestions to management. Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas. Demonstrates the ability to work effectively and maintain expected productivity. Cooperates with other staff members when planning and organizing daily activities. Always maintains courteous demeanor. Prioritizes and completes work on schedule. Meets quality standards, shows pride in performance, and demonstrates reliability and follow-through on all assigned tasks. Demonstrates ability to communicate effectively and express ideas clearly. Performs in accordance with system-wide competencies/behaviors. Performs other duties as assigned. Skills & Abilities Team player Gives high priority to client satisfaction and customer needs. Maintains confidentiality of patient information. Provides customer service to all internal and external customers. Good verbal and written communication skills. Computer literate, with the ability to utilize standard software applications including Windows and MS Office Suite (Outlook, Word, and Excel) Good organizational skills with attention to detail and ability to multitask Requirements HS diploma or GED required. 1+ years of pharmacy and/or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required. Knowledge of medical terminology required. Proficient computer skills and Microsoft Office Products required. CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website. We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top! CarepathRx offers full-time employees a comprehensive benefits package that includes: Paid Company Holidays Paid Time Off and Volunteer Time Off Medical, Dental and Vision Benefits for you and your family 401(k) with Company Match Company-paid Life Insurance and Disability Benefits Supplemental Insurance packages Don't see an open opportunity that matches your skill set just yet? Please click Get Started below or click Introduce Yourself in the top right corner of the page to share your information with us. We will reach out when something becomes available! Additionally, create an account with CarepathRx Careers to set up Job Alerts if something becomes available that peaks your interest! To create an account with CarepathRx Careers, click on Sign In in the top right corner. Once you have created an account and are logged in, click on Job Alerts in top right corner and Create Job Alert! We hope you find a fulfilling career with CarepathRx!

This job posting was last updated on 9/10/2025

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