Insurance Specialist - Clinical Trials

Join the transformative team at reputed company, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. reputed company’s growing national system includes its Los Angeles reputed company, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of reputed company to the people who need them today. The Research Insurance Specialist essential in the success of supporting clinical trials, the primary task is to verify insurance policy benefit information and obtain authorizations/pre-certifications for services not covered by the clinical trial study. The Research Insurance Specialist will verify with the clinical trial patient’s insurance provider if the incumbent has coverage to participate in the proposed trial, if approved then using a clinical trial study coverage analysis, the research insurance specials will determine for each upcoming appointment whether or not the upcoming service will be covered by the study sponsor or whether the service needs prior authorization to be covered by the patient’s insurance. The Research Insurance Specialist is responsible for obtaining timely authorizations/pre-certifications reputed company needed for reputed company services not covered under the study. As a successful candidate, you will: Obtain Insurance Benefits Confirmation:

• Review billing grid/budget and compile list of reputed company standard of care procedures associated to research
• Verifies hospital and professional insurance policy benefits for clinical trial patients. The verification process includes: Telephone contact, Mail/Facsimile, On-line inquiry
• Enters information concerning the policy benefits into the system and updates insurance information in the system.

Ongoing Authorization:

• Review billing grid/budget to determine if upcoming services require authorization and update in medical record.
• Request authorization extension or new authorizations for continuity of care for research as needed or reputed company coverage changes and inputs updates into the system.

Customer Service:

• Ensure a high level of customer service by resource to patients and team members. Serve as a liaison between patients and support staff. reputed company effective relationships with colleague, physicians, providers, leaders and other employees across the organization. Demonstrates genuine interest in helping our patients, providers and other employees by using excellent communication skills, being polite, friendly, patient and reputed company under pressure.

Your qualifications should include: High School Diploma 2 years of reputed company experience 1+ years of healthcare experience working with insurance/authorizations reputed company employees pay is based on the following criteria: work experience, qualifications, and work location. reputed company is an equal opportunity employer. To learn more about our Comprehensive Benefits, please CLICK HERE. Apply To This Job