Infusion Intake Coordinator

Description

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!

We are looking for an experienced Infusion Intake Coordinator with a strong background in infusion and injectable specialty medications. The right candidate knows how to navigate complex insurance benefits, secure and appeal prior authorizations, and connect patients with financial assistance programs including manufacturer copay cards, PAPs, and foundation grants.

• Initiate and manage prior authorizations for infusion and injectable specialty drugs across commercial, Medicare, and Medicaid plans
• Investigate benefits and determine whether drugs fall under medical or pharmacy benefit
• Submit PA appeals and support peer-to-peer review requests
• Enroll patients in copay assistance programs, PAPs, and foundation grants; navigate copay accumulator/maximizer impacts
• Collaborate with providers, payers, specialty pharmacies, and infusion centers
• Maintain accurate documentation in EHR and hub platforms (e.g., Cover My Meds , Connective Rx)
• Perform other duties as assigned

• 401(k) matching
• Dental Insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off

• 2+ years in prior authorization or benefits coordination for specialty medications
• Hands-on experience with infusion and/or injectable biologics or specialty therapies
• Strong knowledge of copay assistance programs, PAPs, and accumulator programs
• Familiarity with both medical and pharmacy benefit structures
• Experience in a specialty pharmacy, infusion center, or physician office preferred