Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Specialist III.

Key Responsibilities

• Obtain authorizations for elective infusions and injections to ensure financial clearance and reimbursement
• Serve as a liaison between clinical teams and pharmacists regarding infusion prior authorization issues
• Review and code cases, ensuring clinical documentation is complete to maximize reimbursement

Required Qualifications

• High school graduate or equivalent with 2 years of experience in a medical environment, or an Associate's degree with 1 year of experience
• 3 years of experience with medical terminology, ICD-10, and CPT codes
• Understanding of authorization processes and insurance guidelines
• Proficiency in Microsoft Office applications
• Basic computer skills