Job Description
- Job Description:
- Responsible for obtaining authorizations for elective infusions and injections to financially clear patients and ensure reimbursement for the organization.
- Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program.
- Serving as a liaison between clinical teams and pharmacists ensuring effective communication regarding infusion prior authorization issues.
- Cases are to be coded, and clinical documentation reviewed to ensure the documentation is complete to maximize reimbursement.
- Requirements:
- High school graduate or equivalent with 2 years working experience in a medical environment, OR 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:
- Health insurance
- 401(k) retirement plans
- Paid time off
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