Patient Qualification Specialist

Job Summary

A company is looking for a Patient Qualification Specialist Lead.

Key Responsibilities

• Support local branch offices by reviewing new patient orders and documentation to ensure compliance with health insurance requirements
• Request health plan authorizations and develop business relationships within field leadership
• Complete audits for order accuracy and champion new initiatives aligned with company objectives

Required Qualifications

• High school degree or equivalent
• 5+ years of experience in the healthcare or health insurance industry
• Certification to process three or more product types, including Document Qualification Process (DQP) certification
• Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, and Word
• Ability to mentor peers and support local branch teams in resolving escalations and complaints