Infusion Authorization Specialist

1 week ago


Chester, Virginia, United States Gateway Gastroenterology Full time

About the Role:

This is a critical position within our team at Gateway Gastroenterology, supporting our infusion center. The successful candidate will be responsible for verifying patients' eligibility with insurance companies for infusion drug coverage.

Key Responsibilities:

  • Verify patients' eligibility with insurance companies for infusion drug coverage
  • Provide medical documentation to insurance companies to obtain authorization for infusion of biologic medications for Inflammatory Bowel Disease
  • Monitor expiring authorizations and navigate the renewal process
  • Monitor claims payment and facilitate patient assistance payments
  • Follow up with insurance payers as needed
  • Perform other general office duties related to patient infusions

Requirements:

  • High School Diploma or equivalent required
  • 1-2 years of medical authorization experience preferred, but not required
  • Basic computer knowledge, prior experience with eClinicalWorks a plus

What We Offer:

  • Salary range starting from $22.00/hour for those without any experience
  • Benefit package includes medical, dental, and vision after 30 days
  • Paid holiday and vacation accrual after 30 days


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