Infusions Insurance Verification Call Script Writer

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role focuses on developing high-quality benefits investigation phone call scripts for infusion (drug/IV) orders. These scripts will guide other professionals in calling payers to collect accurate eligibility and benefits information, ensuring clarity, compliance, and consistency across all payer interactions. Write and refine lines of questioning for phone calls to payers regarding eligibility and benefits for infusion therapies. Incorporate payer-specific nuances, such as: Medical vs. pharmacy benefit distinctions Site-of-care rules Step therapy and prior authorization pathways Buy-and-bill vs. specialty pharmacy workflows Translate payer notes and requirements into structured, natural-language questions. Ensure scripts are designed to elicit precise, auditable answers from payer representatives. Collaborate with internal reviewers to refine clarity, tone, and compliance. Qualifications Background in infusion therapy, payer communications, or benefits investigation. Working knowledge of HCPCS, CPT, J-codes, and relevant ICD-10 diagnoses. Understanding of modifiers and place-of-service impact on coverage. Strong grasp of insurance concepts for infused and specialty drugs. Excellent written documentation and attention to detail. Experience conducting payer calls is a strong plus. Requirements Commitment: ~20-30 hours/week Type: Contractor (Independent) Location: Remote Work with a global, high-caliber team through Mercor