Insurance Verification & Authorization Specialist

Yale New Haven Health Services Corp.; New Haven (CT); On-site; USD 40,000 - 60,000; Full time

Job summary

Yale New Haven Health Services Corp. seeks an Insurance Authorization/Verification Specialist to support our revenue cycle team. You will verify patients' insurance, obtain prior authorizations, and ensure accurate demographic and billing information within the EMR.

The role requires knowledge of coding basics, familiarity with Epic systems, and excellent organizational and communication skills to support transplant, surgical, chemotherapy, and radiation therapy services.

Qualifications

• Requires experience verifying insurance benefits and obtaining authorizations.
• Familiarity with CPT/ICD coding basics is a plus.
• Strong communication and organizational skills essential.

Responsibilities

• Verify patients' insurance and benefits for transplant, surgical, chemotherapy, and radiation therapy.
• Obtain prior authorizations from third-party payers per requirements.
• Update patient information in the EMR and coordinate with payer representatives.
• Maintain understanding of third-party payer regulations and medical necessity for services.

Skills

Insurance verification

Prior authorizations

EMR navigation (Epic)

Communication skills

Education

High school diploma or GED

Bachelor's degree preferred

CPC/LPN/CMS or related certification preferred

Tools

Epic

Microsoft Office

Job description

Yale New Haven Health Services Corp. seeks an Insurance Authorization/Verification Specialist to support our revenue cycle team. You will verify patients' insurance, obtain prior authorizations, and ensure accurate demographic and billing information within the EMR.

The role requires knowledge of coding basics, familiarity with Epic systems, and excellent organizational and communication skills to support transplant, surgical, chemotherapy, and radiation therapy services.