Senior Specialist, Benefit and Authorization - Specialty Operations - REMOT at Option Care Health

Peachtree Corners, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Feb, 26

Salary

31.92

Posted On

16 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Benefit Verification, Authorization Processing, Multi-tasking, Detail-oriented, Quality Focus, Peer Training, Healthcare Billing, Pharmaceutical Authorizations, Calculating Units, Dosages, Engagement, Self-discipline, Fast-paced Environment, Onboarding, Team Quality Audits

Industry

Hospitals and Health Care

Description

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 team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and quality communicated. Assist with everyday individual peer training alongside lead specialist. Assist Supervisor when lead is out with escalating issues or CMC needs. Job Description: Job Responsibilities (listed in order of importance and/or time spent) Processes benefit verification or authorization for all new referrals with speed and accuracy. Assist AVA Supervisor and Manager with special assignments as needed The Senior Specialist will assist lead with team quality audits. May assist with new hire onboarding and interview process. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Basic Education and/or Experience Requirements High school diploma or equivalent is required. Minimum of two years of experience in related field with 1 year being in medical/healthcare role involving benefit and/or authorization with multiple payor types 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. Ability to navigate and train to multiple payor portals Ability to engage peers in a positive manner. Travel Requirements: (if required) N/A Preferred Qualifications & Interests (PQIs) Healthcare/medical billing experience preferred. Previous specialty pharmacy technician experience Previous experience with medical/pharmaceutical authorizations Experience calculating units and dosages for prior authorizations May perform other duties as assigned Due 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 $19.16-$31.92 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 Option 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.

Responsibilities

This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and quality communicated. The Senior Specialist will assist lead with team quality audits and may assist with new hire onboarding and interview processes.