Authorization & Benefits Specialist - Remote

Overview

The Authorization & Benefits (A&B) Specialist is responsible for submitting and monitoring continuation-of-care authorizations, as well as obtaining new authorizations when insurance changes occur for existing patients ensuring uninterrupted SmartVest therapy and preventing delays in billing.

In Short

• Responsible for authorization and benefits management.
• Acts as a liaison between patients, healthcare providers, and insurance companies.
• Verifies benefits and submits timely re-certification requests.
• Communicates effectively with various stakeholders.
• Handles denied recertifications in a timely manner.
• Maintains accuracy in patient databases.
• Ensures compliance with healthcare regulations.
• Provides education to patients on reimbursement situations.
• Utilizes Microsoft Office suite for documentation.
• Works in a full-time remote capacity.

Requirements

• High School diploma or GED required; degree preferred.
• Experience with insurance companies in benefits and authorizations.
• Knowledge of medical terminology and insurance requirements.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to prioritize and handle multiple tasks.
• Demonstrated exceptional customer service skills.
• Self-starter and team player.
• Strong analytical and problem-solving abilities.
• Active participant in continuous improvement.

Benefits

• 6 weeks’ time off annually.
• Employee bonus plan.
• Flexible hybrid/remote work options.
• Full pay maternity, paternity, parental, and short-term disability leaves.
• Employee driven recognition program.
• Access to hundreds of training opportunities.
• Company paid educational assistance.
• Well-being on demand.
• Competitive health and welfare plans -HSA company contribution.
• 401(k) company match.