Igniting what's possible
Clinical Assistant
Location
United States
Posted
7 days ago
Salary
$19 - $20 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Clinical Assistant
Fuze Health
Role Description The Clinical Assistant serves as a key operational and client-facing resource supporting hospice pharmacy benefit management services. This role is responsible for ensuring appropriate medication utilization, facilitating claims and prior authorization processes, supporting hospice partners, and maintaining the integrity of clinical and technical systems that enable seamless patient care. Operating at the intersection of clinical support, pharmacy operations, and technology, the Clinical Assistant plays a critical role in reducing administrative barriers, improving medication access, and strengthening relationships with hospice providers. Key Responsibilities - Medication Management & Cost Stewardship: - Review and identify high-cost or therapeutically inappropriate medications prior to claim submission. - Conduct outreach to hospice partners regarding medication alternatives and formulary considerations. - Support efforts to reduce claim rejections, delays, and unnecessary medication-related costs. - Claims & Prior Authorization Support: - Maintain accurate medication profiles, eligibility information, and supporting documentation. - Assist with medication claims research, prior authorization requirements, and claims resolution. - Ensure timely processing workflows to minimize disruptions to patient care. - Hospice Client Support & Relationship Management: - Provide responsive, high-quality support to hospice staff regarding pharmacy benefit services. - Serve as a trusted resource for workflow, platform, and operational inquiries. - Conduct proactive follow-up to ensure issues are resolved and client needs are addressed. - Support relationship-building efforts through consistent communication and service excellence. - E-Prescribing Platform Support: - Train and support hospice staff utilizing multiple e-prescribing platforms. - Troubleshoot technical issues and system access concerns to prevent prescribing delays. - Promote effective platform utilization and user adoption across hospice partners. - Operational Workflow Management: - Manage multiple work queues, requests, and support activities while maintaining service-level expectations. - Document interactions and resolutions thoroughly to facilitate effective team collaboration and continuity of service. - Maintain current provider, user, and organizational profiles to prevent workflow disruptions. - System Integrity & Data Management: - Ensure medication records, user profiles, and system data remain accurate, complete, and up to date. - Maintain working knowledge of proprietary and third-party pharmacy technology platforms. - Identify and escalate data discrepancies, integration issues, or system concerns to appropriate stakeholders. - Cross-Functional Collaboration: - Act as a liaison between hospice staff, clinical pharmacists, operations teams, and technical support personnel. - Participate in cross-functional problem-solving and issue resolution efforts. - Contribute to a consistent, high-quality client support experience across all service channels. Qualifications - Familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows. - Experience researching medication discrepancies, eligibility issues, and claims-related inquiries. - Demonstrated ability to provide professional, responsive support to healthcare clients and stakeholders. - Ability to learn and navigate multiple software applications, pharmacy systems, and e-prescribing platforms. - Strong verbal and written communication skills with the ability to interact effectively across clinical, operational, and technical teams. - Proven ability to manage multiple priorities, maintain detailed documentation, and work efficiently in a fast-paced environment. Additional Information - Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. - The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions. - Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship. Salary and Benefits - Compensation Range: $19.00-$20.00/hour - Commission Eligible: No - Travel: No - Location Requirement: Fuze Health is limited to individuals residing in specific states. - Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. - Full-time employee benefits include: - dental, vision, and multiple group medical plans to choose from - a 401(k) retirement savings plan - group life insurance - accidental death and dismemberment (AD&D) insurance - flexible spending account (FSA) and health savings account (HSA) - commuter benefits - employer-paid short-term (STD) and long-term disability (LTD) insurance - additional supplemental insurance plans - flexible vacation time - accrued paid sick time - 10 paid holidays - 8 weeks of paid parental leave for eligible employees Equal Opportunity Employer Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis.
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