Infusion Authorization Specialist

2 days ago


Englewood, Colorado, United States Veros Health Full time
Job Summary

Veros Health is seeking an experienced Infusion Authorization Specialist to join our team in Centennial. As a key member of our clinical team, you will be responsible for reviewing, processing, and auditing medical necessity for patients receiving Infusion and/or Biologic treatments.

Key Responsibilities
  • Review and process medical necessity for patients receiving Infusion and/or Biologic treatments
  • Work as a patient advocate and liaison between patients and payers to answer reimbursement questions and avoid insurance delays
  • Obtain insurance authorization and pre-certification for Infusion and/or Biologic services
  • Communicate with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans
  • Provide prompt feedback to physicians and management regarding pathway documentation issues and payer issues with non-covered drugs
Requirements
  • High school degree or equivalent
  • Minimum two (2) years medical insurance verification and authorization experience
  • Billing and coding experience preferred
Benefits
  • Competitive salary range: $18.29-$23.00 per hour
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance
Work Environment

This is a full-time position working in person. The physical demands of this role include standing and walking for extensive periods, lifting and carrying items weighing up to 40 lbs, and requiring corrected vision and hearing to normal range.



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