Insurance Verification and Authorization Specialist

Bryan Health; Kearney (NE); On-site; USD 36,000 - 48,000; Full time

Job summary

Bryan Health is seeking an Insurance Verification/Authorization Specialist to verify patient insurance coverage, obtain required pre-certifications and prior authorizations, and coordinate with payers and care teams. The role ensures services are financially cleared before care is delivered.

Responsibilities include submitting documentation, updating systems, communicating outcomes to patients and offices, and supporting revenue cycle with accurate information and timely follow-up.

Qualifications

• Must have a high school diploma or equivalent and healthcare patient access experience.
• Experience in insurance verification, billing, or related administrative support is required.

Responsibilities

• Verifies insurance eligibility and benefits for scheduled services, admissions, referrals, and medications.
• Obtains required pre-certifications, referrals, and prior authorizations per payer guidelines.
• Collects and submits clinical documentation to payers via phone, fax, or web-based portals/RTAs.
• Documents authorization activity, approvals, dates, and payer communications in systems.
• Communicates authorization status and coverage details to patients and ordering offices.
• Coordinates with revenue cycle, billing, and utilization management to support claim readiness.
• Provides service estimates or directs patients to financial estimate resources.
• Prioritizes urgent and emergent cases to meet turnaround expectations.
• Supports patient access workflows and other department functions as assigned.
• Maintains professional growth through seminars and affiliations to stay current.
• Participates in meetings, committees and department projects.

Skills

Insurance verification

Pre-authorization

Communication

Documentation

Revenue cycle liaison

Education

High school diploma or equivalent

Job description

Summary

Verifies patient insurance coverage and benefits and obtains required prior authorizations to ensure services are financially cleared before care is delivered. Coordinates with payers, provider offices, and internal teams to collect documentation, submit authorization requests, and meet established turnaround requirements. Communicates authorization outcomes, financial responsibility, and coverage limitations to patients and stakeholders. Supports revenue integrity and patient access through accurate documentation and timely follow-up.

1. Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. Verifies insurance eligibility and benefits for scheduled services, admissions, referrals, and medications.
3. Obtains required pre-certifications, referrals, and prior authorizations in accordance with payer guidelines.
4. Collects and submits clinical documentation and supporting information to payers using phone, fax, and web-based portals, and/or Real Time Authorization (RTA) platforms.
5. Documents authorization activity, approval details, dates, and payer communications in designated systems.
6. Communicates authorization status, non-coverage notices, and next steps to patients and ordering offices.
7. Coordinates with revenue cycle, billing, and utilization management teams to support claim readiness.
8. Provides service estimates or connects patients to financial estimate resources as appropriate.
9. Prioritizes urgent and emergent cases to meet defined turnaround expectations.
10. Supports patient access workflows and performs additional department functions as assigned.
11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
12. Participates in meetings, committees and department projects as assigned.

EDUCATION AND EXPERIENCE:

High school diploma or equivalent required. Experience in healthcare patient access, insurance verification, billing, or related administrative support.