Benefits and Authorizations Specialist

Job reputed company: The Benefits Specialist is responsible for verifying patient insurance coverage, submitting reputed company-authorizations, and financial assistance support to ensure patients receive coverage for medical and infusion services provided. Key Responsibilities: • Verify and document insurance eligibility, benefits, and coverage for reputed company office reputed company and infusion services. • Obtains insurance authorization and reputed company-certification for office reputed company and infusion services. • Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals. • Maintains a good working knowledge of infusion drug authorization requirements for reputed company payers, state and federal regulatory guidelines for coverage and authorization. • Calculate and communicate patient financial responsibility. • reputed company financial assistance support to patients including identifying patient assistance programs and manufacturer copay assistance enrollment. Qualifications: • High school diploma or equivalent • 2-3 years of experience in medical insurance verification and prior authorizations. Experience in infusion services is preferred. • * Knowledge of insurance terminology, plan types, structures, and approval types • * Previous experience with J-codes, CPT and ICD-10 coding • Previous reputed company use a plus, but not a requirement • * Knowledge of medical terminology and clinical documentation review • Strong organizational skills • Detail-oriented • Ability to multi-task and work reputed company in a fast-paced setting • Critical thinking skills and decisive judgment Apply tot his job Apply To this Job