Insurance and Authorization Specialist

Trinity Health•Hartford, CT

About The Position

Position Purpose For the Mandell Multiple Sclerosis Center, responsible for ensuring appropriate and accurate submission of insurance prior authorization requests for outpatient hospital infusion services. The scope of the position involves interpreting insurance coverage, understanding outpatient hospital insurance benefits and reviewing clinical documentation for prior authorization submission. Other responsibilities include assisting patients with billing related inquiries when necessary. What you will do Assist patients with process for obtaining infusion and copay assistance to assist with financial concerns Communicate to registration, billing and case management concerning billing when necessary Prepare authorization requests for patients being infused at outside infusion Sites Demonstrate proficiency with review of medical record to submit appropriate medical information for review as part of the authorization process

Requirements

High School diploma or equivalent, Associates Degree preferred
3 years' experience in a health care environment with exposure to the benefit verification process
Experience with obtaining/authorizing services with various insurance companies preferred

Nice To Haves

Associates Degree
Experience with obtaining/authorizing services with various insurance companies

Responsibilities

Assist patients with process for obtaining infusion and copay assistance to assist with financial concerns
Communicate to registration, billing and case management concerning billing when necessary
Prepare authorization requests for patients being infused at outside infusion Sites
Demonstrate proficiency with review of medical record to submit appropriate medical information for review as part of the authorization process