Medical Insurance Benefits Specialist

3 weeks ago


Plano, Texas, United States CSI Pharmacy Full time
Medical Insurance Benefits Specialist

The Medical Insurance Benefits Specialist will be responsible for investigating benefits and obtaining prior authorizations for new and existing patients. This role requires excellent customer service skills, as the individual must interact with patients, healthcare professionals, and insurance carriers.

Key Responsibilities:
  • Assist the insurance department with continuation authorizations.
  • Run benefits and gather necessary documents to submit authorizations for commercial insurance.
  • Check the status of pending authorizations daily.
  • Conduct patient chart audits.
  • Maintain current files and records in accordance with CSI Pharmacy instructions and requirements.
  • Make outreach efforts to insurances, patients, specialist offices, and care teams.
  • Coordinate with Intake personnel and assist with work duties.
  • Interact collaboratively with clinical staff and insurance.
  • Enter accurate referral or authorization information into the electronic medical record.
  • Send complete information to patients' insurance and referring specialists.
  • Submit required reports in a timely manner.
Salary:

$18-$23 per hour (based on location), plus benefits and 401K.



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