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

Feb 22, 2025 - 18:38

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