01Key Responsibilities
Submit, track, and manage prior authorization requests.
Verify patient eligibility, benefits, and authorization requirements.
Monitor authorization status and obtain approvals before scheduled services.
Initiate authorization renewals and resolve authorization-related issues.
Communicate with insurance companies regarding authorizations, benefits, and claim inquiries.
Coordinate with providers and internal teams regarding payer requirements and authorization updates.
Assist with claim follow-up, denial resolution, appeals, and other revenue cycle activities as needed.
Maintain accurate documentation and ensure compliance with payer guidelines, HIPAA regulations, and company policies.
What We're Looking For:
Required:
2+ years of experience in Prior Authorizations, Insurance Verification, Medical Billing, Revenue Cycle Management, or a related healthcare role.
Experience working with U.S. healthcare insurance plans and payer portals.
Strong understanding of insurance eligibility, benefits verification, and authorization processes.
Excellent English communication skills.
Strong attention to detail, organization, and time management skills.
Ability to work independently in a remote environment.
Preferred:
Experience supporting behavioral health, mental health, or outpatient healthcare organizations.
Experience with accounts receivable follow-up, denial management, and claim resolution.
Experience using SimplePractice or similar EHR systems.
Familiarity with Availity, Waystar, or similar payer portals.
Key Competencies:
Attention to detail
Problem-solving
Organization and follow-through
Communication and collaboration
Accountability and adaptability
Work Environment:
Join a collaborative remote team where your work directly impacts patient access to care. You'll work closely with providers, billing professionals, and healthcare operations staff to support efficient revenue cycle processes.
Apply To this Job .
