A company is looking for an Insurance Specialist III.
Key Responsibilities
Obtain authorizations for elective infusions and injections to ensure financial clearance and reimbursement
Serve as a liaison between clinical teams and pharmacists regarding infusion prior authorization issues
Review and code cases, ensuring clinical documentation is complete to maximize reimbursement
Required Qualifications
High school graduate or equivalent with 2 years of experience in a medical environment, or an Associate's degree with 1 year of experience
3 years of experience with medical terminology, ICD-10, and CPT codes
Understanding of authorization processes and insurance guidelines
Proficiency in Microsoft Office applications
Basic computer skills
Authorization Specialist • Houston, Texas, United States