Menu
Responsible for completing patient eligibility and benefits checks to determine patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans.
The Insurance Specialist I needs to understand and work with J-Codes, B- Codes, S-Codes, Diagnosis codes, route of administration, place of service, IPA claims, Medicare B & D billing, Major Medical, and PBM.
The Insurance Specialist I will also be responsible for facilitating authorization submittals, follow ups and appeals.
Please reference Job number: 193816