Senior Specialist, Benefits and Authorization - Specialty RX - REMOTE

Option Care Health•Austin, TX

1d•$20 - $34•Remote

About The Position

The Benefit Verification and Authorization Specialist supports patients referred to Option Care Health to receive specialty medications by completing benefit verification and authorization activities for new referrals with speed and accuracy to enable timely access to care. This role works directly with payers to understand benefit design, interpret medical policies, obtain required authorizations, and communicate coverage details and outcomes to Patient Access staff to support timely and accurate onboarding.

Requirements

High school diploma or equivalent is required.
Minimum of two years of experience in related field with 1 year being in medical/healthcare role involving benefit and/or authorization with multiple payor types
Ability to multi-task and support numerous referrals/priorities at one time.
Ability to work in a fast past environment.
High degree of self-discipline in maintaining productivity expectations.
Must be detail-oriented and have a high degree of quality focus.
Ability to navigate and train to multiple payor portals
Ability to engage peers in a positive manner.

Nice To Haves

Healthcare/medical billing experience preferred.
May perform other duties as assigned

Responsibilities

Processes benefit verification or authorization for all new referrals with speed and accuracy.
Assist AVA Supervisor and Manager with special assignments as needed
The Senior Specialist will assist lead with team quality audits.
May assist with new hire onboarding and interview process.