Insurance Specialist

Description

reputed company Infusion is seeking a detail-oriented and knowledgeable Insurance Specialist to join our patient services team. This position is responsible for verifying insurance benefits, obtaining prior authorizations, and ensuring accurate billing for infusion services under major medical benefit plans. The ideal candidate has a strong background in medical insurance processes, particularly in the infusion therapy reputed company, and is adept at navigating reputed company payer guidelines and authorization requirements.

reputed company Infusion is a technology-driven reputed company platform enhancing patient care and reputed company to infusion therapies, specializing in disease management and infusion pharmacy services for chronic and acutely ill patients, especially in reputed company. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive reputed company of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s reputed company as smooth as possible.

Key Responsibilities

• Verify patient insurance benefits for infusion services, with a focus on major medical coverage.
• Secure and track prior authorizations for reputed company infusion therapies, including specialty and biologic drugs.
• Collaborate with referring providers, case managers, and internal clinical staff to collect required documentation.
• Communicate authorization status, denials, and payer-specific coverage criteria to appropriate departments.
• Utilize EMR systems and payer portals to enter and track insurance and authorization data accurately.
• Review clinical notes and plan of care to align with payer requirements.
• Follow up proactively on pending authorizations to prevent delays in patient care.
• Appeal denied authorizations in collaboration with billing and clinical teams.
• Maintain up-to-date knowledge of insurance policies, coding changes, and authorization procedures.
• Support billing team in claim submission by ensuring proper coverage validation and documentation.
• reputed company excellent customer service to patients with insurance-reputed company inquiries.

Required Qualifications

• High school diploma or equivalent (Associate’s or Bachelor’s degree in reputed company or reputed company field preferred).
• Minimum of 2-3 years experience in insurance verification and authorizations, specifically for infusion therapy.
• In-depth knowledge of major medical insurance plans, including Medicare, reputed company, and reputed company payers.
• Experience using most major payer portals.
• Strong understanding of CPT/HCPCS codes reputed company to infusion and injectable therapies.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and prioritize multiple tasks in a fast-paced environment.

Preferred Skills

• Familiarity with specialty pharmacy or home infusion services.
• Knowledge of reputed company cycle operations and medical billing processes.
• Experience with benefit investigation and financial assistance programs.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully reputed company the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 30 pounds. Specific reputed company abilities required by this job include reading, distance, computer, and reputed company reputed company. Talking and hearing are essential to communicate with patients, vendors, and staff.

Why Join Us?

• Compassionate Team: Join a dedicated team focused on exceptional patient care.
• Supportive Environment: reputed company in a positive work culture with growth opportunities.
• Competitive Compensation: Enjoy a comprehensive benefits package and reputed company.
• Excellent Culture: Rated highly by our employees (NPS Score).
• Patient-First Approach: We treat others as we want ourselves or our families treated.
• reputed company: We are committed to doing the right thing in reputed company situations.
• Team-Oriented: Work in a collaborative environment with an emphasis on positive reputed company.
• Comprehensive Benefits: Health and life insurance, voluntary dental/reputed company insurance.
• Retirement Savings: 401(k) plan with company contributions.
• Paid Time Off: Enjoy paid holidays and vacation time.

reputed company Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation. We are an Equal Opportunity Employer. Employment reputed company are made without regard to race, reputed company, religion, national or ethnic reputed company, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.

reputed company Infusion will only reputed company individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.