Authorization Specialist I
About The Position
The Authorization Specialist serves as the point of financial clearance for the Infusion Center. The Authorization Specialist obtains authorization for infusion and/or radiation service on behalf of BPE providers. The team member verifies appropriate order is received, insurance is verified, as well as request authorization on their behalf- including submission of clinical documentation. Authorization Specialists work closely with practice leadership along with department leadership regarding needs to ensure appropriate clearance. Authorization Specialists contact patients regarding rescheduling needs and communicate with ordering providers and servicing departments. Authorization Specialists verify authorizations received from external referral sources to Infusion and verify benefits of the patient. In conjunction with pharmacy partnership, Authorization Specialists communicate drug changes as needed for assistance programs. This position will work directly with practice leadership. In order to ensure superior service and appropriate patient care, all pre-appointment requirements including scheduling, authorization, price estimation, financial counseling and pre-registration will be coordinated by this position.
Requirements
- Serve as the point of financial clearance for the Infusion Center.
- Work directly with practice leadership.
Responsibilities
- Obtain authorization for infusion and/or radiation service on behalf of BPE providers.
- Verify appropriate order is received.
- Verify insurance.
- Request authorization on behalf of providers, including submission of clinical documentation.
- Work closely with practice leadership and department leadership regarding needs to ensure appropriate clearance.
- Contact patients regarding rescheduling needs.
- Communicate with ordering providers and servicing departments.
- Verify authorizations received from external referral sources to Infusion.
- Verify patient benefits.
- Communicate drug changes as needed for assistance programs in conjunction with pharmacy partnership.
- Coordinate all pre-appointment requirements including scheduling, authorization, price estimation, financial counseling and pre-registration.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
