Authorization and Benefits Liaison
3 weeks ago
Job Summary: The successful candidate will work closely with medical providers, doctors' offices, and insurance companies to facilitate authorizations, communicate critical information, and resolve benefits-related issues. Strong organizational skills and attention to detail are essential requirements for this position.
Responsibilities:
- Facilitate authorizations for medical providers, as needed.
- Communicate with doctors' offices via phone to discuss clinicals, authorizations, transfers, and follow-ups.
- Handle benefits request investigations submitted by medical doctors' offices.
- Interact with insurance companies directly to obtain patient information.
- Serve as primary contact for inbound calls, answer inquiries regarding submitted cases, follow-ups, and other case-related issues.
- Communicate with field access managers and key account managers for updates and support.
- Document and make notations in the system regarding case information.
Qualifications:
- 1-3 years of experience in the medical/healthcare or insurance field, required.
- Experience with benefits investigation, prior authorizations, and/or pre-certifications for prescriptions, treatments, procedures, and DME, preferred.
- Familiarity with medical billing, insurance verifications, reimbursement issues, a plus.
- Ability to maintain strict HIPAA patient confidentiality and protect PHI.
- Strong computer skills, including MS Office.
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