Authorization Specialist

Option Care Health • Frankfort, KY

124d • $16 - $26

About The Position

With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

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-paced environment
• High degree of self-discipline in maintaining productivity expectations
• Must be detail-oriented and have a high degree of quality focus

Nice To Haves

• Healthcare/medical billing experience preferred

Responsibilities

• Submit accurate and timely authorization requests to insurance companies and payers
• Ensure proper setup and maintenance of patient accounts in the system
• Obtain and review clinical documentation to verify medical necessity
• Communicate with healthcare providers to gather required information for authorizations
• Verify insurance benefits and eligibility for services
• Monitor the status of authorization requests and follow up as needed
• Ensure compliance with payer requirements and regulations
• Utilize 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 any authorization-related issues

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

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees