Prior Authorization and Benefits Verification Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Venture Round on 2021-11

Healthcare • Consulting • Logistics

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Support the Patient Access Onshore department with insurance verification and prior authorization functions • Contact payers for eligibility, benefit information, and authorization requirements • Obtain prior authorizations and pre-certifications • Submit complete and accurate authorization requests • Follow up on and resolve pending authorization requests • Maintain documentation of authorization activity • Stay current on payer prior authorization requirements • Facilitate timely patient access to healthcare by managing prior authorization processes

🎯 Requirements

• High School Diploma or equivalent • 2+ years of experience in prior authorization and insurance eligibility/benefits verification • Experience verifying coverage, deductibles, copays, coinsurance, and authorization requirements • Ability to submit and track authorization requests, follow up with payers, and coordinate supporting documentation with provider offices • Familiarity with medical terminology, CPT/ICD-10 codes, payer portals, and electronic health record systems • Strong attention to detail, communication, organization, and follow-up skills • Ability to manage multiple requests, meet turnaround times, and maintain patient confidentiality • Experience with radiology/imaging and laboratory services preferred • Experience resolving authorization denials and supporting appeals preferred

🏖️ Benefits

• Access to a 401(k) Retirement Savings Plan • Comprehensive Medical, Dental, and Vision Coverage • Paid Time Off • Paid Holidays • Pet Care Coverage • Employee Assistance Program (EAP) • Discounted services • Flexible work hours when possible • Diverse and inclusive workplace culture

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