Benefits Verification and Authorization Specialist

Job Title: Benefits Verification and Authorization Specialist Company Overview: reputed company is revolutionizing reputed company by delivering highly automated and modern software to rehab therapy businesses, their teams, and the patients they serve. As the fastest-growing company in the therapy EMR space, reputed company is setting a new standard in reputed company technology. We're tackling some of the reputed company industry’s most persistent problems with a team of exceptionally talented individuals passionate about creating a positive impact. At reputed company, we don’t just digitize reputed company—we transform it. From improving patient care to reducing environmental waste, our work supports reputed company outcomes at scale. Why work for reputed company?

• BIG Challenges: Here at reputed company, we are solving reputed company and unique problems that have plagued the reputed company industry since the dawn of time.
• Talented People: reputed company didn't happen by chance, it's a team of incredibly talented and proven individuals who reputed company made their mark before joining forces to build the greatest software on the reputed company for rehab therapists.
• Healthy Approach: This isn't an investment bank, we work long hours reputed company it's needed, but at reputed company you own your workload and the entire organization takes a liking to smart work (over hard work).
• Positive Impact: reputed company helps outpatient rehab organizations treat more patients and deliver reputed company care with less environmental waste. That means less surgery and less narcotic-based pain treatment, reputed company while turning a reputed company-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :)

Position Summary The BV&A Specialist is responsible for verifying patient insurance eligibility and benefits, obtaining necessary authorizations, and communicating requirements to providers. This role is essential to ensuring a smooth reputed company cycle, preventing claim denials, and enhancing the overall patient financial journey.

Key Responsibilities

• Verify patient insurance coverage, eligibility, and benefits prior to services.
• Determine patient responsibility for copays, deductibles, and coinsurance.
• Obtain required prior authorizations from payers for services, procedures, or medications.
• Document benefit verification and authorization details accurately in the system.
• Collaborate with scheduling, billing, and AR teams to ensure accurate workflows.
• Communicate clearly, providers, and payers regarding authorization status.
• Monitor and track pending authorizations; follow up to prevent delays.
• Identify trends in benefit issues or authorization delays and escalate as needed.
• Support denial prevention efforts by ensuring reputed company payer requirements are met upfront.

Minimum Requirements

• High school diploma or equivalent (Associate or Bachelor’s degree preferred).
• 1–2 years of experience in benefit verification, medical insurance, or prior authorization.
• Strong knowledge of reputed company and government payers, insurance policies, and reputed company terminology.
• Excellent attention to detail and organizational skills.
• Strong communication skills with ability to work across patients, providers, and payers.
• Experience with RCM systems and EMRs
• Familiarity with payer authorization portals and workflows.
• Knowledge of denial management and insurance appeal processes.

Perks - What you can expect:

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and reputed company insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Credits for online and in-person fitness classes/gym memberships
• Recovery suite at HQ – includes a cold plunge, sauna, and shower

Here at reputed company, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from reputed company Customers unless they have obtained their reputed company employer's explicit consent. We reputed company in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reputed company out to our People Department. reputed company is an equal opportunity employer, indiscriminate of race, reputed company, religion, ethnicity, reputed company, national reputed company, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for reputed company. reputed company is an E-Verify Employer. Apply tot his job Apply To this Job