Insurance Specialist III

InsuranceInsuranceFull TimeRemoteMid LevelTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

49 days ago

Salary

Not specified

Seniority

Mid Level

High School2 yrs expExperience acceptedEnglish

Job Description

• Responsible for obtaining authorizations for elective infusions and injections to financially clear patients and ensure reimbursement for the organization. • Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program. • Serving as a liaison between clinical teams and pharmacists ensuring effective communication regarding infusion prior authorization issues. • Cases are to be coded, and clinical documentation reviewed to ensure the documentation is complete to maximize reimbursement.

Job Requirements

  • High school graduate or equivalent with 2 years working experience in a medical environment, OR Associate’s degree and 1 year of experience in a medical environment.
  • 3 years’ experience of knowledge and interpretation of medical terminology, ICD-10, and CPT codes.
  • Understanding of authorization processes, insurance guidelines, and third-party payors practices.
  • Proficiency in Microsoft Office applications.
  • Excellent communication and interpersonal skills.
  • Ability to prioritize to meet deadlines and multitask a large work volume with a high level of efficiency and attention to detail.
  • Basic computer skills.

Benefits

  • Health insurance
  • 401(k) retirement plans
  • Paid time off

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