Benefits Specialist - Remote

Overview

The Benefits Specialist is responsible for verifying patient insurance coverage, submitting pre-authorizations, and providing financial assistance support to ensure patients receive coverage for medical and infusion services provided.

In Short

• Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services.
• Obtain insurance authorization and pre-certification for services.
• Facilitate insurance denial mitigation steps.
• Maintain knowledge of infusion drug authorization requirements.
• Calculate and communicate patient financial responsibility.
• Provide financial assistance support to patients.

Requirements

• High school diploma or equivalent.
• 2-3 years of experience in medical insurance verification.
• Knowledge of insurance terminology and plan types.
• Experience with J-codes, CPT and ICD-10 coding.
• Knowledge of medical terminology and clinical documentation review.
• Strong organizational skills.
• Detail-oriented and able to multi-task.
• Critical thinking skills and decisive judgment.

Benefits

• Opportunity to work remotely.
• Engagement in a fast-paced healthcare environment.