Authorization Specialist: Fast Care Approvals & Coding

Option Care; Tallahassee (FL); On-site; USD 23,000 - 39,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

Paid Time Off

401K Match

HSA Matching

Tuition Reimbursement

MyFlexPay

Mental Health Services

Life Insurance

Job summary

Option Care Health is hiring an Authorization Specialist to submit accurate authorization requests, set up patient accounts, and verify medical necessity. You will collaborate with healthcare providers and payers, ensuring timely, compliant authorizations across our nationwide infusion services.

Responsibilities include reviewing documentation, confirming benefits, tracking statuses, and maintaining precise records.

Qualifications

• Ability to multi-task and support numerous referrals/priorities at one time.
• High degree of self-discipline in maintaining productivity.
• Must be detail-oriented and have a high degree of quality focus.

Responsibilities

• Submit accurate and timely authorization requests to insurance companies and payers.
• Ensure proper setup and maintenance of patient accounts in the system.
• Obtain and review clinical documentation to verify medical necessity.
• Communicate with healthcare providers to gather required information for authorizations.
• Verify insurance benefits and eligibility for services.
• Monitor the status of authorization requests and follow up as needed.
• Ensure compliance with payer requirements and regulations.
• Utilize basic medical coding, diagnosis codes, and medical terminology in the authorization process.
• Maintain detailed records and documentation for all authorizations.
• Collaborate with billing and claims teams to resolve any authorization-related issues.

Skills

Multi-tasking

Detail oriented

Self-discipline

Communication with providers

Education

High school diploma or equivalent

Job description

Option Care Health is hiring an Authorization Specialist to submit accurate authorization requests, set up patient accounts, and verify medical necessity. You will collaborate with healthcare providers and payers, ensuring timely, compliant authorizations across our nationwide infusion services.

Responsibilities include reviewing documentation, confirming benefits, tracking statuses, and maintaining precise records.