Prior Authorization Specialist en Infusion For Health

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.