Top 16 Authorization specialist Jobs in Springfield, Il

Pharma Support Services Specialist
Option Care Enterprises, Inc. —Springfield, IL
- $26.67 - $44.44 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
1d
Pharma Support Services Specialist
Option Care Health —Springfield, IL
- $26.67 - $44.44 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Patient Access Specialist - Referral Specialist
Springfield Clinic —Springfield, IL
- $16.86 - $23.60 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
10d
Medical Office Specialist - Plastic Surgery - Reception (U) (4962)
SIU Medicine —Springfield, IL
- Day shift
- Surgery
- Computer Science
- Clinic
- Paid holidays
- Disability insurance
Medical Office Specialist (U) (4962)
SIU Medicine —Springfield, IL
- Day shift
- Computer Science
- Writing skills
- Clinic
- Paid holidays
- Disability insurance
Nutrition Care Coordinator
Option Care Enterprises, Inc. —Springfield, IL
- $18.72 - $31.20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Nutrition Care Coordinator
Option Care Health —Springfield, IL
- $18.72 - $31.20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Springfield IL - Medical Insurance Specialist
University of Illinois —Springfield, IL
- $40,891 - $47,101 a year
- Online Application
- Management
- Mid-level
- Children
- Health insurance
- Dental insurance
1d

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Pharma Support Services Specialist
Option Care Enterprises, Inc. —Springfield, IL
The Specialist will follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry.
$26.67 - $44.44 an hour
Quick Apply
1d
Pharma Support Services Specialist
Option Care Health —Springfield, IL
The Specialist will follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry.
$26.67 - $44.44 an hour

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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
Quick Apply
2d
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
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Pharma Support Services Specialist

Option Care Enterprises, Inc. -
Springfield, IL

Quick Apply

Job Details

Full-time
$26.67 - $44.44 an hour
1 day ago

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Customer service
High school diploma or GED
Desktop applications
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job 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:

The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of assigned program(s) and contracted requirements. The Specialist will be accountable for referral service delivery as contracted. The Specialist will be measured on success in delivering per contracted KPI metrics and accurate and timely data collection/reporting for program(s). The Specialist of Pharma Support Services will be responsible for maintaining a positive relationship with pharma, HUB, and internal and external operational, sales, and patient registration teams.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

The Specialist will communicate on a regular basis with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners, to drive implementation and coordination of the assigned referrals. This role requires daily communication with patients, providers, and assistance programs to support coordination and execution to contract obligations and overall patient satisfaction.
The Specialist will communicate regularly with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners to drive implementation and coordination of the assigned referrals.
The Specialist will have daily communication with patients, providers, and assistance programs to support the coordination and execution to contract obligations and overall patient satisfaction.
The Specialist will follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry. Collects information relative to Program(s) and reports according to Program requirements.
Participates in business review presentations/contractually agreed upon meetings as directed by our clients.
Assists in developing related SOPs, workflow, and project plans for identified Program(s).

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No - X

Yes

Basic Education and/or Experience Requirements

High School Diploma or equivalent is required.
At least 1 years of experience in a health insurance, specialty pharmacy, patient registration, or similar role with external facing responsibilities.

Basic Qualifications

Knowledge of insurances (Benefit Verifications/Prior Authorization), in specialized pharmacy therapies preferred.
Must be detail-oriented and have a high degree of customer service focus.
Demonstrate effective interpersonal communication skills.
Ability to work independently, problem solve, and collaborate with cross-functional team members and leadership across all levels of the organization.
Proficient computer skills that include the ability to effectively use the Microsoft Office Suite tools.

Physician Demand Requirements

Must be able to work on a personal computer or laptop computer for extended periods of time.

Preferred Qualifications & Interests (PQIs)

One year of specialty pharmacy, home infusions, home care, or health insurance experience.

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 $26.67-$44.44

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.

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Refine Your Search

authorization specialist jobs in springfield, il

Pharma Support Services Specialist

Pharma Support Services Specialist

Patient Access Specialist - Referral Specialist

Medical Office Specialist - Plastic Surgery - Reception (U) (4962)

Medical Office Specialist (U) (4962)

Nutrition Care Coordinator

Nutrition Care Coordinator

Springfield IL - Medical Insurance Specialist

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