Patient Benefits Specialist: Insurance Verification

Option Care; Nashville (TN); A distancia; USD 25.000 - 42.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, & Vision Insurance

Paid Time off

401K Retirement Savings Plan with公司 影響

Tuition Reimbursement

Flex Spending Accounts

Descripción de la vacante

Option Care Health in Nashville is hiring for an Insurance Verification specialist responsible for verifying benefits, determining patient responsibility, and coordinating initial authorizations for infusion services. You will document coverage details, manage payer requirements, and support the revenue cycle team with accurate data.

The role emphasizes attention to policy guidelines, ability to navigate payer contracts, and collaboration with clinical staff to ensure seamless service delivery.

Formación

• High School Diploma with 2 years of patient registration or revenue cycle experience.
• 1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license.
• Basic Excel and Word skills as described in the job posting.
• PQIs preferred: LPN, RD or Pharm Tech licensure.

Responsabilidades

• Verifies insurance benefits for each service and plans coverage.
• Documents coinsurance, copays, deductibles, and authorization requirements in the system.
• Calculates estimated patient financial responsibility using contracts and guidelines.
• Obtains initial authorization before admitting patients and resequences authorization as needed.
• Reviews physician orders to determine if therapy authorization is required for changes.

Conocimientos

Insurance verification

Revenue cycle management

Medical billing

Educación

High School Diploma with 2 years exp

Associate’s Degree, LPN or Pharm Tech license

Herramientas

Microsoft Excel

Microsoft Word

Descripción del empleo

Option Care Health in Nashville is hiring for an Insurance Verification specialist responsible for verifying benefits, determining patient responsibility, and coordinating initial authorizations for infusion services. You will document coverage details, manage payer requirements, and support the revenue cycle team with accurate data.

The role emphasizes attention to policy guidelines, ability to navigate payer contracts, and collaboration with clinical staff to ensure seamless service delivery.