Easter Seals Jobs

Description

This role supports the Chemo team specifically - any medication authorization verification experience is a plus

The Authorization Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. The Authorization Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.

Responsibilities:

• Collects and reviews all patient insurance information needed to complete the benefit verification process.

• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.

• Verification process could include electronic validation of pharmacy coverage and medical eligibility.

• Identifies any restrictions and details on how to expedite patient access.

• Could include documenting and initiating prior authorization process, claims appeals, etc.

• Completes quality review of work as part of finalizing product.

• Reports any reimbursement trends/delays to supervisor.

• Performs related duties and special projects as assigned.

• Ability to work in a fast-paced office environment.

• Work requires focus, flexibility, and the ability to adapt to changing work situations.

Skills

Medical Billing, EOB, insurance claim, insurance follow up, insurance billing, Prior authorization, Insurance coverage, Health insurance, Medical Terminology, Insurance Verification, patient collections, benefit verification, medical insurance

Pay and Benefits

The pay range for this position is $18.00 - $21.00

• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Sanger,CA.

Application Deadline

This position will be accepting applications until Dec 25, 2024.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.