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 employees.As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.Job Description Summary:Job Description: Job Responsibilities (listed in order of importance and/or time spent)
Submit accurate and timely authorization requests to insurance companies and payers
Ensure proper setup and maintenance of patient accounts in the system
Obtain and review clinical documentation to verify medical necessity
Communicate with healthcare providers to gather required information for authorizations
Verify insurance benefits and eligibility for services
Monitor the status of authorization requests and follow up as needed
Ensure compliance with payer requirements and regulations
Utilize basic medical coding, diagnosis codes, and medical terminology in the authorization process
Maintain detailed records and documentation for all authorizations
Collaborate with billing and claims teams to resolve any authorization-related issues
Supervisory ResponsibilitiesDoes this position have supervisory responsibilities?(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)No XBasic Education and/or Experience Requirements
High school diploma or equivalent is required.
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.
Travel Requirements: (if required)N/APreferred Qualifications & Interests (PQIs)
Healthcare/medical billing experience preferred.
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of dutiesDue 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 $16.69-$27.82Benefits:-401k-Dental Insurance-Disability Insurance-Health Insurance-Life Insurance-Paid Time off-Vision InsuranceOption 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.For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.