Senior Specialist, Benefits and Authorization - Remote

Option Care Health; Harrisburg (Dauphin County); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company in Harrisburg is seeking a Benefit Verification Specialist to manage the benefit verification process for new referrals. The role requires strong multitasking abilities, attention to detail, and at least two years of relevant experience. Responsibilities include processing authorizations and assisting team members. This position offers a competitive salary range between $19.16-$31.92 and various benefits such as medical and dental insurance, 401K, and tuition reimbursement.

Benefits

Medical, Dental, & Vision Insurance

Paid Time Off

401K Retirement Savings Plan with Company Match

Tuition Reimbursement

Mental Health Services

Company Paid Life Insurance

Qualifications

• Minimum of two years of experience in a related field, including one year in a medical/healthcare role.
• Experience with benefit verification or authorization required.

Responsibilities

• Process benefit verification or authorization for new referrals accurately.
• Assist with team quality audits and special assignments.
• Support new hire onboarding and interview processes.

Skills

Multi-tasking

Attention to detail

Engaging peers

Self-discipline

Navigating payor portals

Education

High school diploma or equivalent

Tools

Medical billing systems

Job description

Option Care Health – Benefit Verification Specialist

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary

This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and quality. Assist with everyday individual peer training alongside lead specialist. Assist Supervisor when lead is out with escalating issues or CMC needs.

Job Description

Job Responsibilities (listed in order of importance and/or time spent)

• Processes benefit verification or authorization for all new referrals with speed and accuracy.
• Assist AVA Supervisor and Manager with special assignments as needed.
• The Senior Specialist will assist lead with team quality audits.
• May assist with new hire onboarding and interview process.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No - X

Basic Education and/or Experience Requirements

• High school diploma or equivalent is required.
• Minimum of two years of experience in related field with 1 year being in medical/healthcare role involving benefit and/or authorization with multiple payor types.

Basic Qualifications

• Ability to multi-task and support numerous referrals/priorities at one time.
• Ability to work in a fast past environment.
• High degree of self-discipline in maintaining productivity expectations.
• Must be detail-oriented and have a high degree of quality focus.
• Ability to navigate and train to multiple payor portals.
• Ability to engage peers in a positive manner.

Travel Requirements (if required)

N/A

Preferred Qualifications & Interests (PQIs)

• Healthcare/medical billing experience preferred.

May perform other duties as assigned

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills and abilities, as well as internal equity and alignment with market data.

Pay Range is $19.16-$31.92

Benefits

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.