Benefits and Authorization Specialist

Benefits and Authorization SpecialistThe Benefits and Authorization Specialist is responsible for verifying patient insurance coverage, obtaining pre-authorizations, and providing financial assistance support to ensure patients receive necessary medical services. This role involves coordinating with insurance companies, healthcare providers, and patients to manage benefits and authorizations efficiently.ResponsibilitiesVerify patient insurance coverage and benefits for medical services.Communicate with insurance companies to confirm patient eligibility and coverage details.Provide patients with clear and accurate information regarding their benefits and financial responsibilities.Obtain prior authorizations for medical procedures and services as required by insurance providers.Track and follow up on pending authorizations to ensure timely approval.Maintain accurate records of authorization requests and approvals.Serve as a point of contact for patients regarding their insurance benefits and authorization status.Address patient inquiries and concerns with empathy and professionalism.Educate patients on their insurance plans and assist them in understanding their coverage.Work closely with healthcare providers to gather necessary documentation for authorization requests.Coordinate with medical staff to ensure all required information is submitted to insurance companies.Facilitate communication between providers and insurance companies to resolve any issues.Maintain detailed and accurate records of all patient interactions, benefits verifications, and authorization requests.Ensure compliance with all regulatory and organizational policies regarding patient information and documentation.Regularly update patient records in the electronic health record (EHR) system.Required QualificationsHigh School Diploma/GEDAt least 2 year(s) of experience in healthcare setting, preferably in patient benefits, insurance verification, or authorization roles.Relevant education and experience may be substituted as appropriate.Preferred QualificationsAssociate's Degree in healthcare administration, business, or a related fieldAt least 3 year(s) of experience in medical billing or insurance authorization.Certification in medical billing and coding (e.g., CPC, CPB)Prior Authorization Certified Specialist (PACS) certification.Salary Range$45,000 + depending on qualificationsWorking Equipment/Environment• Standard office environment• Repetitive use of a keyboardRequired MaterialsResume/CV3 work references with their contact information; at least one reference should be from a supervisorLetter of interest