Benefits & Authorization Operations Leader

Univ. of MD Specialty Care Network LLC; Annapolis (MD); On-site; USD 80,000 - 100,000; Full time

Job summary

Chesapeake Specialty Care is seeking a Lead Benefits and Authorization Specialist to oversee insurance verification and prior authorization workflows, directing a capable team for timely and accurate processing. The role partners with Scheduling, Clinical Operations, Billing, and Revenue Cycle Leadership to improve authorization accuracy and reduce denials.

The position requires strong knowledge of insurance plans (commercial, Medicare, Medicaid, Tricare) and leadership experience, with a focus

Qualifications

• Minimum 4-5 years of experience in medical billing, benefits verification, or authorization management.
• Leadership or supervisory experience preferred.
• Strong knowledge of medical insurance plans including commercial, Medicare, Medicaid, and Tricare.
• Familiarity with CPT/ICD-10 codes.
• Excellent communication and customer service skills.
• Experience with Microsoft Office applications, including Word and Excel.

Responsibilities

• Serve as the primary resource for Benefits and Authorization Specialists and provide day-to-day guidance.
• Oversee daily authorization and benefits workflows to ensure timely submissions.
• Monitor departmental queues for insurance verification and authorization requests.
• Escalate payer issues and workflow concerns to the RCM Director.
• Collaborate with Revenue Cycle, Clinical Operations, Scheduling, Surgery Scheduling, and other departments.
• Verify patient insurance eligibility and benefits for scheduled appointments and procedures.
• Confirm coverage details including deductibles, co-pays, coinsurance, and out-of-pocket maximums.

Skills

Insurance verification

Authorization management

Leadership

Mentoring

Communication

Education

High school diploma

Associate's degree

Tools

Practice management systems

EHR platforms

Job description

Chesapeake Specialty Care is seeking a Lead Benefits and Authorization Specialist to oversee insurance verification and prior authorization workflows, directing a capable team for timely and accurate processing. The role partners with Scheduling, Clinical Operations, Billing, and Revenue Cycle Leadership to improve authorization accuracy and reduce denials.

The position requires strong knowledge of insurance plans (commercial, Medicare, Medicaid, Tricare) and leadership experience, with a focus