Insurance Verification & Authorization Specialist

Insurance Verification & Authorization Specialist

Schedule: Full Time | Monday - Friday | 80 hours

Pay Range: $22-$24 (non-exempt), based on location, qualifications, and experience

Why You'll Love Working at Vivie

• Competitive pay with employer-matched retirement and pay-on-demand
• Comprehensive health and wellbeing benefits
• Generous PTO and paid holidays
• Career growth with scholarships, training, and professional development
• Work-life benefits and modern technology that make your day easier

As an Insurance Verification & Authorization Specialist, you'll play a key role in supporting client access to care by ensuring accurate insurance verification and timely authorization for services. You'll work closely with clinical and administrative teams to keep patient records up to date, prevent billing delays, and ensure coverage aligns with service needs. Your role helps make care seamless by removing barriers before they happen.

As an Insurance Verification & Authorization Specialist, you will:

• Verify Insurance Coverage – Confirm patient eligibility for services, enter appropriate payer details in the client's chart, and notify the team of any changes or issues with coverage.
• Obtain & Manage Authorizations – Secure service authorizations based on payer guidelines, ensure adequate visit approval, and upload documentation into the client's chart. Monitor and verify service agreements for accuracy.
• Support Internal Communications & Compliance – Maintain logs, communicate clearly with staff about authorization status, and flag potential gaps in coverage. Follow HIPAA guidelines and uphold confidentiality in all communications.
• Other Duties as Assigned – The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all inclusive.

This job also requires:

• Proficiency in computer software and ability to quickly learn new systems.
• Prior medical experience and knowledge of insurance processes and payers is preferred.
• 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 ensure effective communication with team members, clients, and visitors.

Additional Details:

• Employment Type: Hourly, non-exempt
• Department: Finance
• Leadership Received: Manager of Revenue Cycle - HCBS
• Division: HCBS
• Travel Requirements: No
• This role does not include supervisory responsibilities

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.