Insurance Authorization Specialist - III

Description: • Responsible for obtaining authorizations for elective infusions and injections. • Ensure reimbursement for the organization. • Utilize payor resources to verify accurate prior authorization requirements. • Escalate financial clearance risks as appropriate. • Act as a liaison between clinical teams and pharmacists for communication regarding infusion prior authorization issues. • Code cases and review clinical documentation for completeness. Requirements: • High school graduate or equivalent with 2 years working experience in a medical environment, (such as a hospital, doctor’s office, or ambulatory clinic.) • 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: Apply Job! Apply to this Job