Benefits & Authorization Associate

Bluegrass Care Navigators; Lexington (KY); On-site; USD 42,000 - 52,000; Full time

Job summary

Bluegrass Care Navigators is seeking a Benefits & Authorization Associate to verify insurance eligibility and benefits, obtain prior authorizations, and secure payer approvals to support timely access to care.

The role acts as a liaison between patients, providers, payers, and internal departments, ensuring compliant, efficient service delivery and adherence to payer requirements. Prior healthcare experience and strong communication skills are required.

Qualifications

• Minimum 1 year in healthcare insurance verification or related operations.
• Experience with commercial, Medicare, and Medicaid payers preferred.
• Knowledge of medical terminology and payer requirements preferred.
• Experience using EMR, payer portals, and practice management systems preferred.
• Strong communication and detail-oriented abilities.

Responsibilities

• Verify insurance eligibility and benefits for patients.
• Obtain prior authorizations and payer approvals to enable timely care.
• Serve as liaison between patients, providers, payers, and internal teams.
• Maintain compliance with payer requirements and organizational policies.

Skills

Verbal and written communication

Organizational skills

Analytical skills

Problem-solving

Attention to detail

Multitasking

Education

High school diploma or equivalent

Tools

EMR systems

Payer portals

Practice management systems

Job description

Position Summary

The Benefits & Authorization Associate is responsible for verifying insurance eligibility and benefits, obtaining prior authorizations, and securing payer approvals to support timely access to care across organizational service lines. This role serves as a liaison between patients, providers, payers, and internal departments to facilitate efficient service delivery while ensuring compliance with payer requirements, regulatory standards, and organizational policies.

Schedule: Monday- Friday 8:00am-5:00pm

Position Summary

The Benefits & Authorization Associate is responsible for verifying insurance eligibility and benefits, obtaining prior authorizations, and securing payer approvals to support timely access to care across organizational service lines. This role serves as a liaison between patients, providers, payers, and internal departments to facilitate efficient service delivery while ensuring compliance with payer requirements, regulatory standards, and organizational policies.

Position Qualifications

• High school diploma or equivalent required.
• Minimum of one (1) year of experience in healthcare insurance verification, prior authorizations, patient access, revenue cycle, medical billing, or related healthcare operations required.
• Experience working with commercial insurance, Medicare, Medicaid, and managed care payers preferred.
• Knowledge of medical terminology, healthcare reimbursement, and payer authorization requirements preferred.
• Experience using electronic medical records (EMR), payer portals, and practice management systems preferred.
• Strong organizational, analytical, and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities while maintaining accuracy and attention to detail.

Everent Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.