Insurance Verification & Authorization Specialist

Aspire Allergy & Sinus; Austin (TX); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Paid Time Off and Holidays

Free Allergy Testing and Discounted<br

401(k) + Employer Match

Employee rewards program

Job summary

Aspire Allergy & Sinus in Austin, TX is hiring an Insurance Verification & Authorization Specialist to verify eligibility, obtain authorizations, and communicate patient financial responsibility prior to services.

You will work with Scheduling, Front Desk, and Revenue Cycle teams, using payer portals and EMR systems to ensure pre-service clearance and accurate reimbursement.

Qualifications

• Knowledge of commercial, Medicare and Medicaid guidelines.
• Familiarity with payer portals and insurance carrier websites.
• Experience with insurance verification, eligibility checks, or authorization workflows.
• Experience with EHR or practice management systems.

Responsibilities

• Verify patient insurance eligibility and benefits using payer portals and insurance carriers.
• Confirm coverage details including copays, deductibles, coinsurance, and service limitations.
• Review patient demographic and insurance information and update the system as needed.
• Obtain prior authorizations and referrals when required by payer guidelines.
• Track authorization requests and follow up with payers to secure approvals.

Skills

Insurance guidelines

Payer portals

Attention to detail

Written and verbal communication

Prioritization

Independent with teamwork

Education

High school diploma or equivalent

Tools

NextGen

Athena

Epic

Job description

Insurance Verification & Authorization Specialist

Department: Revenue Cycle

Employment Type: Permanent - Full Time

Location: Austin, TX

Description

Join Aspire Allergy & Sinus as an Insurance Verification & Authorization Specialist and play a key role in ensuring patients receive seamless care while supporting an efficient revenue cycle. In this role, you will verify patient insurance eligibility and benefits, obtain prior authorizations and referrals when required, and ensure patients are properly cleared prior to services being rendered.

Working closely with Scheduling, Front Desk, Clinical Operations, and the Revenue Cycle team, you will help ensure services meet payer requirements and reduce authorization- and eligibility-related denials. Using payer portals, practice management systems, and communication with insurance carriers, you will verify benefits, secure authorizations, and provide estimated patient financial responsibility when appropriate.

This position is an essential part of the front-end revenue cycle, helping confirm coverage and authorization requirements before the patient visit—supporting both a positive patient experience and accurate reimbursement for services provided.

Schedule & Location

This role is fully onsite at our Austin HQ (5929 Balcones Drive, Austin, TX 78731).

Monday-Thursday 8a-5p

Friday 8a-12p

(40 hour work week)

Key Responsibilities

Insurance Verification

• Verify patient insurance eligibility and benefits using payer portals and insurance carriers
• Confirm coverage details including copays, deductibles, coinsurance, and service limitations
• Review patient demographic and insurance information and make corrections within the practice management system as needed
• Ensure insurance verification is completed accurately and within required timelines prior to scheduled services

• Obtain prior authorizations and referrals when required by payer guidelines for scheduled services, procedures, or testing
• Ensure all required information for authorization requests is available, including CPT codes, diagnosis codes, and supporting documentation
• Track authorization requests and follow up with payers to ensure approval prior to the date of service
• Confirm scheduled services have valid authorization when required by payer and procedure

• Calculate estimated patient responsibility based on verified benefits and payer guidelines
• Communicate expected out-of-pocket costs to patients when appropriate prior to services
• Refer uninsured or underinsured patients to the Billing team for assistance or payment arrangements when needed

• Collaborate with Scheduling, Front Desk, and Clinical Operations to ensure patients are properly cleared for scheduled services
• Communicate authorization requirements, missing documentation, or insurance issues to appropriate staff
• Assist internal teams with insurance-related questions that may impact scheduling or patient care

• Document verification results, authorization details, and payer communications within the practice management system
• Maintain accurate records of verification and authorization activity

  Skills, Knowledge and Expertise

  • Knowledge of commercial, Medicare, and Medicaid insurance guidelines
  • Familiarity with payer portals and insurance carrier websites
  • Strong attention to detail and organizational skills
  • Excellent written and verbal communication skills
  • Ability to prioritize and manage multiple workflows and deadlines
  • Ability to work independently while collaborating with a team in a fast-paced environment
  • High school diploma or equivalent required
  • Healthcare, hospital, or medical office experience
  • Familiarity with insurance verification, eligibility checks, or authorization workflows
  • Experience working with EHR or practice management systems (NextGen, Athena, Epic, or similar)
  • 1+ years of insurance verification or authorization experience in a healthcare setting
  • Working knowledge of CPT and ICD-10 codes
  • Experience working with payer portals for eligibility and authorization requests

  Benefits

  • Medical, Dental and Vision Insurance.
  • Generous Paid Time Off and 10 Paid Holidays
  • Free Allergy Testing and Discounted Treatments
  • 401(k) + Generous Employer Match
  • Employee rewards program!
  • + More!

  Explore More About Aspire

  Instagram - https://www.instagram.com/aspireallergy/

  LinkedIn - https://www.linkedin.com/company/aspire-allergy/mycompany/

  TikTok – https://www.tiktok.com/@aspireallergy

  Aspire Allergy & Sinus is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.