Insurance Specialist

Medix Infusion

Insurance Specialist responsible for verifying insurance eligibility and benefits for infusion services. Collaborating with multiple departments to manage patient care efficiently.

Posted 7/28/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying insurance eligibility, understanding payer policies, and managing prior authorizations and appeals. Proficient in coordinating patient care and training staff within a healthcare environment.

Highest-signal resume keywords

Insurance Eligibility VerificationPrior Authorization ManagementMedical Claims BillingMedicare And Medicaid PoliciesAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Claims CodingDocumentation ReviewAppeal Request SubmissionInfusion ExperienceEMR System Proficiency

Soft Skills

Excellent CommunicationTeam CollaborationDetail Orientation

Certifications & Qualifications

High School Diploma Or Equivalent

Industry Keywords

HealthcarePayer PoliciesMedical NecessityFDA GuidelinesQuality-Focused Teams

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

High School Diploma or equivalent.
2-3 years of experience in healthcare, pharmacy, or medical claims billing and coding, including prior authorization and appeals.
1 years of infusion experience preferred.
Strong understanding of Medicare, Medicaid, and commercial payer policies.
Excellent communication skills and attention to detail.
Ability to work effectively in high-volume, quality-focused teams.

Benefits

Comp & perks

Equal Opportunity Employer that Prohibits Discrimination and Harassment of any kind.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.