Prior Authorization Specialist at Infusion For Health
Infusion For Health · Brea, United States Of America · Onsite
- Professional
- Office in Brea
Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.
Job Description
- Prepare and submit detailed authorization requests to insurance companies
- Assist in coordinating prior authorizations when required for certain procedures or services
- Keep track of authorization requests, follow up with insurance companies, and keep detailed records of all communications related to insurance claims.
- Investigate insurance denials, resubmit requests, and appeals when required
- Contact insurance companies to verify patient insurance information, coverage, and benefits.
- Ensure insurance information is entered correctly into the system and updated regularly.
- Liaise with insurance companies, medical staff, and patients to resolve any discrepancies or issues with coverage.
- Document and report any issues with insurance eligibility or benefit discrepancies to the appropriate departments for further action.
- Communicate with patients to request any missing or updated insurance information.
Qualifications:
- High school diploma or equivalent; some college or healthcare-related certification preferred.
- Previous experience in insurance verification, medical billing experience
- Knowledge of healthcare insurance plans, benefits, and claims processes.
- Strong attention to detail and organizational skills.
- Excellent communication skills, both written and verbal.
- Proficiency with insurance verification software and electronic health record (EHR) systems.
Monday to Friday Apply Now