Benefits & Authorization Lead - Insurance Verifications & Appeals

Nira Medical; Poland; Remote; PLN 30,000 - 40,000; Full time

Job summary

A healthcare services provider in Poland is seeking a Benefits Specialist Lead to ensure patients receive coverage for medical and infusion services. Responsibilities include verifying patient insurance coverage, obtaining pre-authorizations, and providing financial assistance support to patients. Ideal candidates will have a high school diploma, 2-3 years of relevant experience, and knowledge of medical terminology and insurance concepts. The role requires strong organizational and critical thinking skills while working in a fast-paced environment.

Qualifications

• 2-3 years of experience in medical insurance verification and prior authorizations, preferably in infusion services.
• Knowledge of insurance terminology and approval types.
• Previous experience with coding systems is helpful.

Responsibilities

• Verify and document insurance eligibility for office visits and infusion services.
• Obtain insurance authorization for necessary services.
• Facilitate appeals for insurance denials and maintain knowledge of authorization requirements.

Skills

Medical insurance verification

Organizational skills

Detail-oriented

Critical thinking

Multi-tasking

Education

High school diploma or equivalent

Tools

Athena

J-codes

CPT and ICD-10 coding

Job description

A healthcare services provider in Poland is seeking a Benefits Specialist Lead to ensure patients receive coverage for medical and infusion services. Responsibilities include verifying patient insurance coverage, obtaining pre-authorizations, and providing financial assistance support to patients. Ideal candidates will have a high school diploma, 2-3 years of relevant experience, and knowledge of medical terminology and insurance concepts. The role requires strong organizational and critical thinking skills while working in a fast-paced environment.