[Hiring] Patient Prior Authorization Specialist @OI Infusion Services

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Patient Intake Coordinator will work with patients and insurance providers to perform pre-certification and insurance verifications for infusion services.
• Performs pre-certification and obtains authorizations and referrals as required by payor guidelines and in accordance with OI Infusion procedures
• Verifying all information on authorization requests are accurate and received/process by insurance companies accordingly
• Gathers medical documentation to support the patients' treatments for further review
• Manages treatment schedule to ensure patients’ authorizations will be completed timely and treatments will remain undisrupted
• Reviews and approves assigned orders utilizing department guidelines

Qualifications
• 1-2 years of insurance verification experience in the medical field
• Obsessive focus on patient-experience
• Excellent verbal and written communication skills
• Organizational skills
• Attention to detail
• Ability to work in a team as well as independently

Benefits
• Medical, dental and vision coverage
• Company paid Short Term Disability
• Employee Assistance Program
• Paid Time Off including PTO and paid holidays
• Paid Parental Leave
• 401k w/ employer match

Company Description

Launched in 2018, OI Infusion aims to improve the patient and provider experience while simultaneously lowering costs for both providers and payers. The company operates both an infusion management service organization (MSO) and a network of multi-site ambulatory specialty infusion centers, called Novella.
• The MSO business line offers services such as staffing, managing operations, and revenue cycle operations for physician practices, enabling the specialty groups to provide infusion services to their patient base.
• The Novella ambulatory specialty infusion centers allow for the business to contract directly with payers and are a major lever for future growth.
• Since its inception, Novella has scaled to operate over 35 clinics in the New England region.

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