Benefits & Authorizations Specialist

Choice Health at Home • Tyler, TX

13h

About The Position

The Benefits & Authorizations Specialist supports the accurate and timely administration of benefits information and authorizations for employees and clients. The role manages and processes benefit claims, verifies eligibility, and coordinates with internal departments, healthcare providers, and insurance companies to resolve coverage or authorization issues. It maintains accurate records and ensures benefits and authorizations are handled promptly and in accordance with company policies and regulatory requirements. Attention to detail and compliance are essential.

Requirements

• High school diploma or equivalent required.
• Proven experience in benefits administration, claims processing, or a related clerical role.
• Strong knowledge of employee benefits programs, insurance terminology, and authorization processes.
• Proficiency with office software such as Microsoft Office Suite and benefits management systems.
• Excellent organizational skills and attention to detail.

Nice To Haves

• Associate degree or higher.
• Experience working in a healthcare or insurance environment.
• Familiarity with federal and state regulations governing employee benefits.
• Certification related to benefits administration, such as CEBS.
• Strong customer service experience in a benefits or HR setting.
• Ability to analyze and interpret benefits policies and communicate them clearly.

Responsibilities

• Process and verify employee benefits claims and authorizations in accordance with company policies and regulatory requirements.
• Maintain accurate records of benefits usage, authorizations, and communications with employees and external providers.
• Coordinate with insurance companies, healthcare providers, and internal departments to resolve issues related to benefits coverage and authorizations.
• Respond promptly to employee inquiries regarding benefits status, eligibility, and claim procedures.
• Ensure compliance with relevant laws, regulations, and company policies related to benefits administration.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED