Patient Benefits & Authorization Specialist

Optioncare; Springfield (IL); On-site; USD 29,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, & Vision Insurance

401K Retirement Savings Plan with Firm

PTO

Tuition Reimbursement

HSA Company Match

Flexible Spending Accounts

Job summary

Option Care Health in Springfield, IL is seeking an Insurance Verification Specialist to verify benefits, determine patient responsibility, and coordinate authorization for services and testing. This role supports accurate billing and patient intake within the revenue cycle process.

The position requires a High School Diploma with experience in patient registration or revenue cycle, with preferred LPN or Pharm Tech licensure and/or infusion billing experience.

Qualifications

• High School Diploma with 2 years of experience in patient registration or revenue cycle management.
• 1 year of similar experience with an Associate's Degree, LPN or Pharm Tech license.
• Basic level skill in Microsoft Excel (e.g., currency formatting, formulas, etc.).
• Basic level skill in Microsoft Word (e.g., formatting, spelling checks, track changes).
• Preferred qualifications include LPN, RD or Pharm Tech licensure and/or experience.
• Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.

Responsibilities

• Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service provided.
• Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Creates documentation required to service the patient per policy and payer guidelines.
• Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
• Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
• Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes/additions to therapy for patients that are already on service.

Skills

Excel basics

Word basics

Education

High School Diploma with 2 years revenue cycle

Associate's Degree / LPN / Pharm Tech license

Job description

Option Care Health in Springfield, IL is seeking an Insurance Verification Specialist to verify benefits, determine patient responsibility, and coordinate authorization for services and testing. This role supports accurate billing and patient intake within the revenue cycle process.

The position requires a High School Diploma with experience in patient registration or revenue cycle, with preferred LPN or Pharm Tech licensure and/or infusion billing experience.