Revenue Cycle Authorization Specialist

Vital Care Infusion Services, LLC; EUA; Teletrabalho; USD 42 000 - 63 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical plans

Dental plans

Vision plans

Paid time off

Personal days

Paid holidays

Paternal leave

Volunteer days

Life insurance

Disability insurance

401(k) match

Tuition reimbursement

Employee assistance

Referral program

Professional development

Resumo da oferta

Vital Care Infusion Services is seeking an Authorization Specialist to initiate and manage prior authorizations for pharmacy and infusion services. You will ensure accuracy, timely submissions, and adherence to processes to minimize denials and denials-related delays.

Responsibilities include reviewing patient files, communicating with payers and franchise partners, documenting activities, verifying benefits, and obtaining reauthorizations.

Qualificações

• Two years’ experience in intake/authorizations and home infusion therapy.
• High school diploma or equivalent.
• Excellent English communication skills.
• Proficient in MS Office and pharmacy software.

Responsabilidades

• Review patient files for completeness and accuracy to submit prior authorizations.
• Communicate with franchise partners, payers, and VCI departments about authorization status.
• Document activity in the system and schedule required follow-ups.
• Investigate and verify benefits for pharmacy and medical claims.
• Obtain reauthorizations and expedite insurer responses.
• Track and escalate service issues delaying access to therapy.
• Explain therapy costs to patients before starting service.
• Perform other related duties as assigned.

Conhecimentos

Communication

Billing & collections

Problem solving

Organization

MS Office

Formação académica

High school diploma or equivalent

Ferramentas

MS Office

Pharmacy software

Descrição da oferta de emprego

Vital Care Infusion Services is seeking an Authorization Specialist to initiate and manage prior authorizations for pharmacy and infusion services. You will ensure accuracy, timely submissions, and adherence to processes to minimize denials and denials-related delays.

Responsibilities include reviewing patient files, communicating with payers and franchise partners, documenting activities, verifying benefits, and obtaining reauthorizations.