Insurance Verification & Authorization Specialist

📋 Description

• Verify insurance eligibility, coverage, and behavioral health benefits for new and existing
• Review incoming patient inquiries to confirm age, location, insurance participation, and service
• Identify complexities within insurance plans, including third-party behavioral health
• Obtain, submit, and track prior authorizations and referrals to ensure timely access to care.
• Communicate with insurance carriers to resolve coverage discrepancies and explain patient financial
• Manage high-volume requests through internal ticketing and EHR systems, maintaining accurate

🎯 Requirements

• Experience in healthcare insurance verification, eligibility, benefits determination, prior
• Strong understanding of insurance terminology, including copays, coinsurance, deductibles, and
• Exceptional attention to detail with the ability to manage high-volume workflows, investigate
• Strong communication, organizational, and problem-solving skills when working with patients
• Experience with behavioral health insurance benefits, prior authorizations, or specialty healthcare
• Familiarity with EHR systems such as Athenahealth and insurance portals is a plus, along with the

🎁 Benefits

• Benefits Eligible