Infusion Authorization/Benefit Coordinator

Posted 2 days ago

arizona arthritis rheumatologyGlendale (AZ)

SENIORITY

Senior

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About the role

Benefits: Reverification Specialist Recently named one of Arizona's Top Workplaces, Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 300 employees providing assessment and treatments for rheumatological, podiatric, and electromyography patients. Our providers work together to keep patients healthy, and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department. We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability. Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care. We are seeking an ambitious, friendly, positive, and compassionate Benefits Reverification Specialist to join our Infusion Team. The Reverification Specialist is responsible for reviewing the infusion daily schedule to ensure accurate insurance benefits and authorization information for each clinic/site. The Reverification Specialist is responsible for assisting with the coordination and processing of all incoming referrals, patient reorders and flipping of the schedule. Additional tasks include ensuring no insurance or manufacturer portal gaps for benefits. The Reverification Specialist is expected to perform the flipping of the daily schedule and be out at least ten (10) business days ahead of the current day of the infusion schedule.
Responsibilities:
  • Obtain eligibility and benefit information from medical insurance companies
  • Use insurance online portals for insurance verification
  • Speak to insurance companies regarding specific drugs to determine coverage
  • Answer incoming calls and deal with inquiries
  • Respond and comply to requests for information
  • Complete other clerical duties as assigned.
  • Safeguard patient privacy and confidentiality
Qualifications:
  • Must be able to work Monday-Thursday from 7:00 a.m. to 6:00 p.m.
  • Insurance eligibility and benefits experience
  • High school diploma
  • Great customer service skills
  • A neat, professional appearance
  • Knowledge of computer and relevant software applications (NextGen a plus)
  • Knowledge of general clerical procedures
  • Working knowledge of healthcare insurance required

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