Lead Authorization Specialist
● Lead a team of 5 infusion specialists to assist with any problems and make certain all policies and procedures are followed.● Receive and process new referrals from over 200 referral sources● Perform insurance investigations and report back to referral sources within 20 minutes● Ensure all of the information required by the pharmacy is received before patients begin services● Create both a physical and an electronic chart and enter all data to electronic chart● Obtain both initial and ongoing insurance authorizations for all patients on service● Coordinate logistics of IV deliveries with deliveries of other departments● Bill insurance companies in accordance with payor specific contracts● Case manage patients for quality assurance for both long term and short term patients● Design all processes and write policies for Infusion department● Member of Financial Advisory Board● Support Account Managers and maintain positive relationships with referral sources● Provide support to pharmacy department