Authorization Specialist

🔥 54 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $16 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Option Care Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1987

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Option Care Health is a leading national provider of infusion therapy services in the United States. The company offers treatment for a variety of acute and chronic conditions including neurological disorders, bleeding disorders, women's health issues, and heart failure. With over 170 nationwide infusion suite locations, Option Care Health collaborates with healthcare providers, pharmaceutical manufacturers, insurance providers, and health systems to deliver seamless and comprehensive care. Their services include IV antibiotics, nutrition support, immunoglobulin, and specialized therapies, with a strong commitment to patient care and quality outcomes. Option Care Health is in-network with all major health plans and is recognized for its high standards of care and patient support.

📋 Description

• Submit accurate and timely authorization requests to insurance companies and payers. • Set up and maintain patient accounts in the system. • Obtain and review clinical documentation to verify medical necessity. • Communicate with healthcare providers to gather required authorization information. • Verify insurance benefits and eligibility for services. • Monitor authorization request status and follow up as needed. • Ensure compliance with payer requirements and regulations. • Apply basic medical coding, diagnosis codes, and medical terminology in the authorization process. • Maintain detailed records and documentation for all authorizations. • Collaborate with billing and claims teams to resolve authorization-related issues. • May perform other duties as assigned.

🎯 Requirements

• High school diploma or equivalent is required. • Ability to multi-task and support numerous referrals/priorities at one time. • Ability to work in a fast past environment. • High degree of self-discipline in maintaining productivity expectations. • Must be detail-oriented and have a high degree of quality focus. • Basic medical coding, diagnosis codes, and medical terminology knowledge. • Healthcare/medical billing experience preferred. • Must be able to work remotely during PST/MST hours.

🏖️ Benefits

• Medical, Dental, & Vision Insurance • Paid Time off • Bonding Time Off • 401K Retirement Savings Plan with Company Match • HSA Company Match • Flexible Spending Accounts • Tuition Reimbursement • myFlexPay • Family Support • Mental Health Services • Company Paid Life Insurance • Award/Recognition Programs