Insurance Authorization Specialist

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