[Hiring] Patient Benefits Specialist @Option Care Health

Role Description

Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services and testing and implementation of new plan business.

Job Responsibilities

• Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being 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.

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.

Requirements

• Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
• Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).

Preferred Qualifications & Interests (PQIs)

• LPN, RD or Pharm Tech licensure and/or experience.
• Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.

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