Patient Benefits Specialist

🔥 12 hours ago

🎸 Tennessee – Remote

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💵 $18 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👩‍👩‍👧‍👦 Human Resources (HR)

🚫👨‍🎓 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

• Perform insurance verification of benefit coverage on all patient insurance plans for each service • Obtain and document coinsurance, copays, deductibles, authorization requirements, and related information • Create documentation required to service patients according to policy and payer guidelines • Determine estimated patient financial responsibility using insurance verification information and payer contracts or self-pay guidelines • Obtain initial authorization before admitting patients for services when required • Obtain reauthorization as necessary • Review physician orders from pharmacy to determine whether authorization is required for therapy changes or additions

🎯 Requirements

• High School Diploma with 2 years of experience in patient registration or revenue cycle management • 1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license • Basic level skill in Microsoft Excel • Basic level skill in Microsoft Word • LPN, RD or Pharm Tech licensure and/or experience preferred • Previous Infusion Medical Billing/Collections or Intake/Admissions Experience preferred

🏖️ 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

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