Insurance Specialist – Clinical Trials
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Job Description
Insurance Specialist verifying clinical-trial coverage and securing authorizations. Supporting City of Hope’s cancer, diabetes, and life-threatening illness care mission.
Responsibilities:
- Verify insurance policy benefits for clinical trial patients through telephone, mail/facsimile, and online inquiries
- Review billing grids/budgets and compile standard-of-care procedures associated with research
- Enter policy benefit information and update insurance records in the system
- Review upcoming services to determine authorization requirements and update medical records
- Request authorization extensions or new authorizations for continuity of care and coverage changes
- Provide customer service and serve as a liaison between patients and support staff
- Develop effective relationships with colleagues, physicians, providers, leaders, and other employees
Requirements:
- High School Diploma
- 2 years of related experience
- 1+ years of healthcare experience working with insurance/authorizations
- Experience verifying insurance policy benefits
- Experience obtaining authorizations/pre-certifications
- Ability to review billing grids/budgets and clinical trial coverage analyses
- Ability to enter and update insurance and authorization information in systems
- Excellent communication and customer service skills
- Ability to remain polite, friendly, patient, and calm under pressure
Benefits:
- Comprehensive benefits (details provided via employer benefits link)
- Equal opportunity employer
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