Authorization Specialist

Career Opportunities At Option Care HealthExtraordinary 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:Submits accurate and timely authorization requests to ensure proper reimbursement for patient services. This role involves setting up patient accounts, obtaining necessary clinical documentation, and verifying medical necessity. The specialist must have a solid understanding of basic medical coding, diagnosis codes, and medical terminology. Strong attention to detail, organizational skills, and the ability to work collaboratively with healthcare providers and payers are essential for success in this role.Job ResponsibilitiesSubmit accurate and timely authorization requests to insurance companies and payersEnsure proper setup and maintenance of patient accounts in the systemObtain and review clinical documentation to verify medical necessityCommunicate with healthcare providers to gather required information for authorizationsVerify insurance benefits and eligibility for servicesMonitor the status of authorization requests and follow up as neededEnsure compliance with payer requirements and regulationsUtilize basic medical coding, diagnosis codes, and medical terminology in the authorization processMaintain detailed records and documentation for all authorizationsCollaborate with billing and claims teams to resolve any authorization-related issuesSupervisory 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 RequirementsHigh school diploma or equivalent is required.Basic QualificationsAbility 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 dutiesMay perform other duties as assignedDue 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 $17.02-$28.38Benefits:Medical, Dental, & Vision InsurancePaid Time offBonding Time Off401K Retirement Savings Plan with Company MatchHSA Company MatchFlexible Spending AccountsTuition ReimbursementmyFlexPayFamily SupportMental Health ServicesCompany Paid Life InsuranceAward/Recognition ProgramsOption 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.