Verification and Authorization Specialist

📋 Description

• Verify insurance coverage and benefits to confirm eligibility and costs.
• Contact insurers to confirm benefits, limits, and authorization requirements.
• Use payer portals (Availity/Optum/Aetna/Cigna) to verify benefits and submit authorizations.
• Document benefits details including co-pays, deductibles, and visit limits.
• Obtain and track prior authorizations with CPT codes and service lines.
• Maintain accurate EHR documentation and HIPAA compliance.

🎯 Requirements

• 3+ years of insurance verification and authorization experience, preferably in behavioral health.
• Bachelor’s degree required.
• Proficiency with EHR and billing software.
• Highly detail-oriented with strong analytical and organizational skills.
• Ability to maintain confidential medical records per HIPAA.
• Able to work independently and in teams with minimal supervision.

🎁 Benefits

• Competitive salary aligned with experience
• Comprehensive paid time off
• Volunteer time off annually
• Parental leave
• Education and certification support
• Medical, dental, and vision coverage