Benefits and Authorization Specialist

🔥 1 minute ago

🏄 California – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Logo of Option Care Health

Option Care Health

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

• Complete benefit verification and authorization activities for new referrals • Process benefit verification or authorization for all new referrals with speed and accuracy • Work directly with payers to understand benefit design • Interpret medical policies • Obtain required authorizations • Communicate coverage details and outcomes to Patient Access staff • Support timely and accurate patient onboarding • Assist Supervisor and Manager with special assignments as needed • May perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent is required • Minimum of two years of experience in related experience • 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 • Healthcare/medical billing experience preferred • Must reside in California • In-depth knowledge of California payers • Ability to work Thursday through Monday, 8:00am–4:30pm Pacific time

🏖️ 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

Apply Now

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