Medix Infusion
Join to apply for the
INSURANCE VERIFICATION SPECIALIST
role at
Medix Infusion Join to apply for the
INSURANCE VERIFICATION SPECIALIST
role at
Medix Infusion Medix Infusion provides personalized home and in suite infusion therapy services for patients with chronic or acute conditions. Our expert team is dedicated to making each patient’s journey as easy as possible. We provide medical infusion therapies, including anti-infectives, biologics, IVIG, and other injectable and infusion treatments.
Our Mission: To connect chronically ill and high-acuity patients with infusion therapy by providing convenient, compassionate care within rural, suburban, and other under-served communities.
General Description
The Insurance Specialist is responsible for verifying insurance eligibility and benefits for infusion services. The Insurance Specialist reviews payer medical necessity guidelines and ensures proper documentation is on file to support therapy. The Insurance Specialist will submit and follow-up timely with authorization, predetermination, and appeal requests. The Insurance Specialist will work closely with the Intake, Scheduling, Pharmacy, and Clinical departments in managing patient care while promoting compassionate high-quality standards.
Work Experience Requirements
Two years of insurance verification and authorization experience Two years’ experience in an infusion specialty preferred Experience working with all payer types, including Medicare, Medicaid, and commercial insurance companies
Duties and Responsibilities
Verifies insurance eligibility and benefits via phone, fax, or payer portals. Provides timely completion of insurance review for established patients. Documents timely and accurately in the EMR system. Reviews payor medical policies to determine medical necessity and/or FDA guidelines including Medicare billing and coding guidelines. Coordinates with medical providers in obtaining necessary documentation to support medical necessity. Submits appeal request to payers for denied authorizations and follows-up on timely turnaround. Obtains authorization for infusion services for established patients. Knowledge of reimbursement policies. Completes follow-up tasks as assigned. Assures work is completed in a timely manner to prevent delays in patient care. Attends departmental meetings and in-services as requested. Assists with orientation and training of staff. Demonstrates courteous, compassionate, and professional behavior at all times. All other assigned duties.
REASONS TO WORK AT MEDIX INFUSION
Excellent Culture as ranked by our own employees (NPS Score) We Put the Patient First – Treating Others the Way We Want Ourselves or Our Family Treated We Do the Right Thing… Team Matters – We Always Assume Positive Intent Health Insurance (Company pays approx. 70% of medical coverage chosen) Dental/Vision Insurance (voluntary) Paid Time Off – tiered plan based on tenure starting at 120 hours annually Paid holidays – 7 days per year $50,000 life insurance/$50,000 AD&D Employer Paid (additional Voluntary Life/AD&D products available) Disability income protection plan (optional) 401(k) savings plan and company match
Seniority level
Seniority level Entry level Employment type
Employment type Part-time Job function
Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Medix Infusion by 2x Insurance Verification Specialist - Remote
Part-time Insurance Verification Specialist - Remote
Part-time Insurance Verification Specialist - Remote
Insurance Verification Specialist - Remote
Insurance Verification Specialist - Remote
Insurance Verification Specialist - Hybrid
Data Entry Specialist (Dental Insurance Verification)
Representative I, Inflight Administration
Revenue Cycle Specialist III- Insurance Verification Specialist
Associate Patient Care Coordinator - McKinney, TX
Deputy Clerk I - Tax Assessor/Collector - Denton
Dallas, TX $40,750.00-$49,860.00 1 day ago Medical Billing Customer Service Representative (Dallas, TX)
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INSURANCE VERIFICATION SPECIALIST
role at
Medix Infusion Join to apply for the
INSURANCE VERIFICATION SPECIALIST
role at
Medix Infusion Medix Infusion provides personalized home and in suite infusion therapy services for patients with chronic or acute conditions. Our expert team is dedicated to making each patient’s journey as easy as possible. We provide medical infusion therapies, including anti-infectives, biologics, IVIG, and other injectable and infusion treatments.
Our Mission: To connect chronically ill and high-acuity patients with infusion therapy by providing convenient, compassionate care within rural, suburban, and other under-served communities.
General Description
The Insurance Specialist is responsible for verifying insurance eligibility and benefits for infusion services. The Insurance Specialist reviews payer medical necessity guidelines and ensures proper documentation is on file to support therapy. The Insurance Specialist will submit and follow-up timely with authorization, predetermination, and appeal requests. The Insurance Specialist will work closely with the Intake, Scheduling, Pharmacy, and Clinical departments in managing patient care while promoting compassionate high-quality standards.
Work Experience Requirements
Two years of insurance verification and authorization experience Two years’ experience in an infusion specialty preferred Experience working with all payer types, including Medicare, Medicaid, and commercial insurance companies
Duties and Responsibilities
Verifies insurance eligibility and benefits via phone, fax, or payer portals. Provides timely completion of insurance review for established patients. Documents timely and accurately in the EMR system. Reviews payor medical policies to determine medical necessity and/or FDA guidelines including Medicare billing and coding guidelines. Coordinates with medical providers in obtaining necessary documentation to support medical necessity. Submits appeal request to payers for denied authorizations and follows-up on timely turnaround. Obtains authorization for infusion services for established patients. Knowledge of reimbursement policies. Completes follow-up tasks as assigned. Assures work is completed in a timely manner to prevent delays in patient care. Attends departmental meetings and in-services as requested. Assists with orientation and training of staff. Demonstrates courteous, compassionate, and professional behavior at all times. All other assigned duties.
REASONS TO WORK AT MEDIX INFUSION
Excellent Culture as ranked by our own employees (NPS Score) We Put the Patient First – Treating Others the Way We Want Ourselves or Our Family Treated We Do the Right Thing… Team Matters – We Always Assume Positive Intent Health Insurance (Company pays approx. 70% of medical coverage chosen) Dental/Vision Insurance (voluntary) Paid Time Off – tiered plan based on tenure starting at 120 hours annually Paid holidays – 7 days per year $50,000 life insurance/$50,000 AD&D Employer Paid (additional Voluntary Life/AD&D products available) Disability income protection plan (optional) 401(k) savings plan and company match
Seniority level
Seniority level Entry level Employment type
Employment type Part-time Job function
Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Medix Infusion by 2x Insurance Verification Specialist - Remote
Part-time Insurance Verification Specialist - Remote
Part-time Insurance Verification Specialist - Remote
Insurance Verification Specialist - Remote
Insurance Verification Specialist - Remote
Insurance Verification Specialist - Hybrid
Data Entry Specialist (Dental Insurance Verification)
Representative I, Inflight Administration
Revenue Cycle Specialist III- Insurance Verification Specialist
Associate Patient Care Coordinator - McKinney, TX
Deputy Clerk I - Tax Assessor/Collector - Denton
Dallas, TX $40,750.00-$49,860.00 1 day ago Medical Billing Customer Service Representative (Dallas, TX)
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr