Benefits and Authorizations Specialist Lead

remotesenior

via Ashby

About this role

Job Summary: The Benefits Specialist Lead is responsible for verifying patient insurance coverage, submitting pre-authorizations, and financial assistance support  to ensure patients receive coverage for medical and infusion services provided. Key Responsibilities: - Verify and document insurance eligibility, benefits, and coverage for all office visits and infusion services. - Obtains insurance authorization and pre-certification for office visits and infusion services. - Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals. - Maintains a good working knowledge of infusion drug authorization requirements for all payers, state and federal regulatory guidelines for coverage and authorization.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: athena

2

Level fit

This role is senior-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

athena

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