Insurance Verification & Authorization Expert

Better Health; Birmingham (AL); On-site; USD 42,000 - 62,000; Full time

Job summary

Better Health seeks an experienced Insurance Verification & Authorization Specialist to support revenue cycle and patient intake operations. You will verify insurance benefits, check authorization requirements, obtain prior authorizations, and submit PCP referrals while coordinating with internal teams.

The ideal candidate has hands-on medical insurance verification experience, strong attention to detail, and excellent communication.

Qualifications

• Hands-on experience in the medical field is required.
• On-site in Birmingham, AL for a minimum of 30 hours per week.
• Experience verifying insurance eligibility and benefits.
• Experience obtaining prior authorizations and submitting PCP referrals.
• Knowledge of commercial and government plans (Medicare/Medicaid).
• Understanding in-network benefits, deductibles, and authorization processes.

Responsibilities

• Verify patients' insurance eligibility and active coverage.
• Review benefits, deductibles, copays, coinsurance, and out-of-pocket costs.
• Confirm in-network vs out-of-network provider participation.
• Determine if prior authorizations or PCP referrals are required.
• Document verification results in the systems and communicate findings to teams.

Skills

Insurance verification

Authorization checks

PCP referrals

HIPAA compliance

Communication

Organization

Documentation systems

Tools

Insurance portals

EHRs

Practice management systems

CRM platforms

Job description

Better Health seeks an experienced Insurance Verification & Authorization Specialist to support revenue cycle and patient intake operations. You will verify insurance benefits, check authorization requirements, obtain prior authorizations, and submit PCP referrals while coordinating with internal teams.

The ideal candidate has hands-on medical insurance verification experience, strong attention to detail, and excellent communication.