Insurance and Authorization Specialist
Trinity Health•Hartford, CT
8d
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.
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
Benefits
- Full time 40hrs M-F days
- Excellent benefits - starting day 1!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
