Benefits Specialist Lead

3 weeks ago


Irvine, California, United States Oso Home Care Full time
Job Summary:
Oso Home Care seeks an experienced Authorization Specialist to lead our clinical authorizations team. This key role involves verifying patient eligibility, submitting authorizations, and ensuring seamless communication with medical payers.

Estimated Salary: $72,000 - $92,000 per year (hybrid salary with 3 days in office and 2 days at home).

Key Responsibilities:
  • Eligibility Verification: Accurately assess patient eligibility for Oso Home Care's services.
  • Authorization Submission: Prepare and submit authorization requests to medical payers.
  • Follow-up and Communication: Monitor pending authorizations and maintain effective communication with payers.

Requirements:
  • At least 2 years of prior authorization experience.
  • Demonstrated expertise in submitting authorization requests.
  • Comprehensive knowledge of HCPCS, ICD-10, and CPT codes.
  • Strong computer skills and proficiency in software applications.
  • Prior experience with Medicare guidelines is highly desirable.

Oso Home Care Advantage:
Join a supportive and dynamic team that prioritizes patient-centered care. Enjoy a competitive salary package, comprehensive benefits, and opportunities for growth and professional development.

Our Culture:
Oso Home Care values diversity, equity, and inclusion. We strive to create a welcoming environment where every individual feels valued and respected. If you share our commitment to quality care and community engagement, we encourage you to explore this exciting opportunity.

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