Insurance Verification & Authorization Specialist

Atlantic Group; New Jersey; Hybrid; USD 25,000 - 32,000; Full time

Job summary

Atlantic Group is seeking an Insurance Verification & Authorization Specialist in Burlington County, NJ, to support insurance verification, prior authorizations, patient accounts, and reimbursement operations within a healthcare environment.

The ideal candidate has 3+ years of healthcare customer service, insurance verification, authorization, or medical billing experience with strong knowledge of payer requirements and medical insurance processes.

Qualifications

• 3+ years of insurance verification, prior authorization, medical billing, healthcare customer service, or related experience.
• Experience with healthcare insurance processes, claims, authorizations, and medical terminology is required.
• Proficiency with Microsoft Office and electronic health systems.

Responsibilities

• Verify insurance coverage, eligibility, benefits, and patient financial responsibility.
• Initiate, submit, track, and obtain prior authorizations and referrals.
• Maintain accurate patient, insurance, and account information while resolving issues.
• Respond to patient, provider, and insurance inquiries regarding coverage, benefits, authorizations, and account information.
• Support billing and reimbursement processes while identifying issues requiring escalation.
• Maintain accurate documentation while following healthcare privacy and insurance requirements.

Skills

Customer service

Organization

Communication

Attention to detail

Problem solving

Time management

High-volume workload management

Education

High school diploma or equivalent

Bachelor's degree preferred

Tools

Microsoft Office

Electronic health record systems

Data entry

Job description

Job Overview – Insurance Verification & Authorization Specialist

Compensation: $18–$23/hour (Dependent on Experience)

Location: Burlington County, NJ

Schedule: Monday to Friday (Hybrid)

Atlantic Group is hiring an Insurance Verification & Authorization Specialist in Burlington County, NJ for our client, supporting insurance verification, prior authorizations, patient accounts, and reimbursement operations within a healthcare environment. This role will verify coverage and benefits, obtain authorizations, maintain accurate patient and insurance information, and communicate with patients, providers, and insurance carriers. The ideal candidate has 3+ years of healthcare customer service, insurance verification, authorization, or medical billing experience with strong knowledge of payer requirements and medical insurance processes.

Responsibilities as the Insurance Verification & Authorization Specialist:

• Insurance Verification: Verify insurance coverage, eligibility, benefits, and patient financial responsibility.
• Prior Authorizations: Initiate, submit, track, and obtain prior authorizations and referrals based on applicable requirements.
• Account Management: Maintain accurate patient, insurance, and account information while resolving coverage or documentation issues.
• Customer Support: Respond to patient, provider, and insurance inquiries regarding coverage, benefits, authorizations, and account information.
• Reimbursement Support: Support billing and reimbursement processes while identifying issues requiring additional research or escalation.
• Compliance & Documentation: Maintain accurate documentation while following applicable healthcare, privacy, and insurance requirements.

Qualifications for the Insurance Verification & Authorization Specialist:

• Education: High school diploma or equivalent is required, with a bachelor's degree preferred.
• Experience: 3+ years of insurance verification, prior authorization, medical billing, healthcare customer service, or related experience is required.
• Industry Knowledge: Experience with healthcare insurance processes, claims, authorizations, and medical terminology is required.
• Technical Skills: Proficiency with Microsoft Office, electronic healthcare systems, and data entry is required.
• Skills & Attributes: Strong customer service, organization, communication, attention to detail, problem-solving, time management, and ability to manage a high-volume workload are required.