Benefits Specialist Lead
A company is looking for a Benefits and Authorizations Specialist Lead.
Key Responsibilities
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, including peer-to-peer reviews and appeals
Qualifications
High school diploma or equivalent
2-3 years of experience in medical insurance verification and prior authorizations, preferably in infusion services
Knowledge of insurance terminology, plan types, and approval types
Previous experience with J-codes, CPT, and ICD-10 coding
Knowledge of medical terminology and clinical documentation review
A company is looking for a Benefits and Authorizations Specialist Lead.
Key Responsibilities
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, including peer-to-peer reviews and appeals
Qualifications
High school diploma or equivalent
2-3 years of experience in medical insurance verification and prior authorizations, preferably in infusion services
Knowledge of insurance terminology, plan types, and approval types
Previous experience with J-codes, CPT, and ICD-10 coding
Knowledge of medical terminology and clinical documentation review