Insight Global is in search of an Insurance Reviewer for a Healthcare Client in the San Antonio area. The ideal candidate would be responsible for reviewing and obtaining authorization for chemotherapy treatments according to reimbursement guidelines and compliance standards. The main duties include auditing the medical necessity and pathway adherence of each treatment, communicating with medical staff and payers about any issues or requirements, updating coding/payer guidelines, researching alternative resources for non-covered services, and providing patients with community resources. The job requires a good knowledge of chemotherapy authorization and regulatory guidelines, as well as confidentiality and HIPPA laws.
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.