Medix Infusion

Insurance

• Verify insurance eligibility and benefits via phone, fax, or payer portals.
• Ensure timely completion of insurance reviews and documentation in the EMR system.
• Review payer medical policies to confirm medical necessity, including Medicare and FDA guidelines.
• Obtain necessary documentation from medical providers to support medical necessity.
• Submit and follow up on appeal requests for denied authorizations.
• Coordinate with departments to prevent delays in patient care.
• Assist in training staff and attend departmental meetings as needed.

Insurance Specialist