Shields Health Solutions
RxTriageLiaison(Infusion)
Neural analysis suggests this role is
optimal for Mid candidates.
“RxTriage Liaison (Infusion) at Shields Health Solutions. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement, Referral Intake, insurance plans, authorization processes, medical problem-solving, critical-thinking skills, infusion therapy, medical reimbursement, pre-certification, benefits investigation, prior authorization, financial assistance, infusion workflows, specialty pharmacy, home infusio”
What You'll Achieve.
timely access to care; fast, accurate routing decisions based on payer rules, clinical factors, and operational constraints
Industry & Context.
medical problem-solving; critical-thinking skills; critical thinking
onsite in Durham, NC for the first 6-8 weeks of training, hybrid 2-3 days a week onsite after training, deals with highly sensitive and private data
What They're Looking For.
Must Have
3+ experience as a pharmacy technician required, 3+ years’ experience with infusions, coordinating and subcontracting referrals, infusion and medical reimbursement experience must include medical pre-certification, benefits investigation, prior authorization, and financial assistance
Nice to Have
Experience with infusion, specialty pharmacy, and/or home infusion workflows strongly preferred, medical pre-certification, benefits investigation, prior authorization, and financial assistance strongly preferred, Familiarity with J‑codes, HCPCS codes (including per diem and nursing), and common infused medications highly beneficial
What You'll Do.
and directing incoming prescriptions and HCPA referrals to the appropriate site of care
ensuring patients are routed efficiently based on insurance requirements
reimbursement feasibility
and operational capacity
acting as the first decision point in the referral workflow process
supporting a specific specialty clinic/s or being part of a centralized intake team serving multiple clinics and disease states/diagnosis requiring infusion therapy
How You'll Work.
Team & Collaboration
collaborates with pharmacy, nursing, intake, revenue cycle management, and clinical partners
Communication Scope
verbal and written communication skills; listener/communicator
Full Job Description
This role is onsite in Durham, NC for the first 6-8 weeks of training. Once the new hire is fully stabilized, they will be able to work hybrid 2-3 days a week onsite. Job Purpose: The company is seeking a highly motivated, detail-oriented, and dependable Triage Liaison to support our rapidly growing healthcare provider administered (HCPA) medication operations. This role is responsible for receiving, assessing, and directing incoming prescriptions and HCPA referrals to the appropriate site of care – Hospital Outpatient Departments (HOPD), Ambulatory Infusion Centers (AIC), Home Infusion (HI), or external/contract pharmacies/agencies. This role also ensures patients are routed efficiently based on insurance requirements, patient preference, clinical needs, reimbursement feasibility, and operational capacity. The RxTriage Liaison acts as the first decision point in the referral workflow process and collaborates with pharmacy, nursing, intake, revenue cycle management, and clinical partners to ensure timely access to care. The RxTriage Liaison will support a specific specialty clinic/s or be part of a centralized intake team serving multiple clinics and disease states/diagnosis requiring infusion therapy. Key Responsibilities Referral Intake able to quickly learn other software programs and able to extract relevant information; strong organizational/administrative skills a must. Knowledge of insurance plans, authorization processes, and medical terminology; strong problem-solving and critical-thinking skills. Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, strong listener/communicator, proactive, and patient-focused Other: Energetic, highly motivated, adaptable, and team-oriented with strong personal and communication skills; strong customer service skills; discretion and confidentiality essential as position deals with highly sensitive and private data Experience 3+ experience as a pharmacy technician required 3+ years’ e
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