Insurance Verification & Authorization Specialist
About The Position
The Insurance Verification & Authorization Specialist supports client access to care by verifying insurance coverage and obtaining timely authorizations for services. The role works with clinical and administrative teams to keep client records current, prevent billing delays, and ensure coverage aligns with service needs. Responsibilities include confirming patient eligibility, recording payer details and coverage changes in client charts, securing and monitoring service authorizations according to payer guidelines, maintaining accurate service agreements, and uploading authorization documentation. The specialist also maintains logs, communicates authorization status to staff, flags potential coverage gaps, and follows HIPAA requirements and confidentiality practices. The role has no supervisory responsibilities and requires no travel. It is an hourly, non-exempt position in the Finance Department and HCBS division.
Requirements
- Proficiency in computer software and ability to quickly learn new systems.
- Strong attention to detail and documentation accuracy.
- Ability to work independently and collaborate across teams.
- Ability to pass state-mandated background checks.
- Physical capability to perform all essential job functions.
- Ability to read, write, and speak English to communicate effectively with team members, clients, and visitors.
Nice To Haves
- Prior medical experience and knowledge of insurance processes and payers.
Responsibilities
- Confirm patient eligibility for services, enter payer details in the client’s chart, and notify the team about coverage changes or issues.
- Secure service authorizations according to payer guidelines and ensure sufficient visit approval.
- Upload authorization documentation into the client’s chart.
- Monitor and verify service agreements for accuracy.
- Maintain logs and communicate authorization status clearly to staff.
- Flag potential gaps in coverage.
- Follow HIPAA guidelines and maintain confidentiality in all communications.
- Perform other duties as assigned.
Benefits
- Competitive pay with employer-matched retirement and pay-on-demand.
- Comprehensive health and wellbeing benefits.
- Generous PTO and paid holidays.
- Career growth opportunities through scholarships, training, and professional development.
- Work-life benefits and modern technology.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
