Authorization and Benefits Liaison

3 weeks ago


Orlando, Florida, United States COPILOT Full time
About the Opportunity: COPILOT is a dynamic third-party hub services company that connects medical providers and health insurance companies. As an Authorization and Benefits Liaison, you will be responsible for facilitating authorizations, communicating with doctors' offices, handling benefits request investigations, and interacting with insurance companies. This full-time role is located in Maitland, FL, and offers a competitive salary of $62,000 - $72,000 per year, based on experience.

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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