Benefits and Authorization Specialist - Remote - MUST RESIDE IN CA - THURSDAY-MONDAY SCHEDULE

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Hiring Remotely in Sacramento, CA, USA
In-Office or Remote
Junior
Healthtech
The Role
Processes benefit verification and authorization requests for new specialty medication referrals. Reviews payer benefits and medical policies, obtains required authorizations, communicates coverage outcomes to Patient Access staff, and supports timely patient onboarding. The role requires California residency, knowledge of California payers, careful prioritization of multiple referrals, and a Thursday-through-Monday schedule.
Summary Generated by Built In

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

 Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

This position will require someone to reside in California and have in depth knowledge of California payers. In addition, the schedule will entail working every week Thursday through Monday from 8am-4:30pm Pacific time.
The Benefit Verification and Authorization Specialist supports patients referred to Option Care Health to receive specialty medications by completing benefit verification and authorization activities for new referrals with speed and accuracy to enable timely access to care. This role works directly with payers to understand benefit design, interpret medical policies, obtain required authorizations, and communicate coverage details and outcomes to Patient Access staff to support timely and accurate onboarding.

Job Description: ​

Job Responsibilities

  • Processes benefit verification or authorization for all new referrals with speed and accuracy.
  • Assist Supervisor and Manager with special assignments as needed.

Basic Education and/or Experience Requirements

  • High school diploma or equivalent is required.
  • Minimum of two years of experience in related experience.

Basic Qualifications

  • Ability to multi-task and support numerous referrals/priorities at one time.
  • Ability to work in a fast past environment.
  • High degree of self-discipline in maintaining productivity expectations.
  • Must be detail-oriented and have a high degree of quality focus.

Preferred Qualifications & Interests

Healthcare/medical billing experience preferred.

May perform other duties as assigned

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Benefits:

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

​

Skills Required

  • High school diploma or equivalent
  • At least two years of related experience
  • Must reside in California
  • Availability to work Thursday through Monday, 8:00 a.m. to 4:30 p.m. Pacific Time
  • Ability to multitask and manage numerous referrals and priorities
  • Ability to work in a fast-paced environment
  • High degree of self-discipline and ability to maintain productivity expectations
  • Strong attention to detail and quality focus
  • Healthcare or medical billing experience

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The Company
HQ: Bannockburn, IL
5,717 Employees
Year Founded: 1979

What We Do

Option Care Health is a national provider of home and alternate-site infusion services in the United States. It delivers infusion therapies and related clinical support for acute and chronic conditions, including anti-infective treatment, heart-failure care, parenteral and enteral nutrition, immunoglobulin therapy, and treatments for inflammatory disorders. Its mission is to transform healthcare by improving outcomes, reducing costs, and delivering hope to patients and families.

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