4 дня назад
Senior Insurance Authorization Specialist - Infusion (Healthcare)
19 - 24$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Insurance Authorization Specialist - Infusion (Healthcare): Managing insurance authorization and verification for infusion, oncology, and specialty medication services with an accent on clinical records, payer requirements, and coverage validation. Focus on resolving escalated authorization issues, coordinating physicians and insurers, mentoring specialists, and improving process accuracy.
Location: Remote within the United States; authorized U.S. work status is required. Travel to and onsite work at client, temporary, or corporate office locations may be required as business needs dictate.
Salary: $18.65–$23.50 per hour, based on experience.
Company
provides technology-enabled revenue cycle management and related solutions for hospitals, health systems, and affiliated physician groups.
What you will do
- Perform insurance authorization and verification for patients scheduled for services.
- Select appropriate clinical records and submit authorization requests according to payer requirements.
- Validate demographic and insurance information and confirm active coverage.
- Act as a liaison between ordering physicians and insurance companies to communicate approval requirements.
- Support supervisors with escalated issues, workload distribution, and system or process tracking.
- Mentor and train new authorization and verification specialists while supporting quality and productivity targets.
Requirements
- 1–3 years of experience in a similar role.
- Experience with infusion therapies and the infusion authorization lifecycle.
- Experience with oncology or specialty infusion therapies, treatment plans, and payer-specific rules.
- High school diploma or GED required.
- Certified Revenue Cycle Representative certification required within 9 months of hire; certification costs are covered by the company.
- Must reside in and be authorized to work within the United States.
Nice to have
- Experience with physician- or hospital-administered medications, injections, infusions, or genetic testing.
- Associate degree.
- Openness to using AI and other innovations to improve processes and patient and client experiences.
Culture & Benefits
- Healthcare, paid time off, retirement, and well-being benefits.
- Professional development, field-relevant certification, and tuition reimbursement.
- Quarterly and annual incentive programs.
- Culture focused on collaboration, growth, innovation, and work-life flexibility.
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