Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Authorization Specialist III.

Key Responsibilities

• Obtain authorizations for elective infusions and injections to ensure financial clearance and reimbursement
• Serve as a liaison between clinical teams and pharmacists regarding infusion prior authorization issues
• Utilize the EPIC system to manage workloads and follow up on submitted authorization requests

Required Qualifications

• High school diploma or equivalent with 2 years of experience in a medical environment, or an Associate's degree with 1 year of experience
• Knowledge and interpretation of medical terminology, ICD-10, and CPT codes
• Understanding of authorization processes and insurance guidelines
• Proficiency in Microsoft Office applications
• Ability to prioritize tasks and manage a large work volume efficiently