Insurance Verification & Authorization Specialist

Avera Health; United States; Remote; USD 27,000 - 35,000; Full time

Job summary

Avera Health is seeking a focused Insurance Eligibility Specialist to verify benefits and secure required authorizations. You will collect accurate patient data, explain financial responsibilities, and coordinate with payers to prevent denials.

Responsibilities include calculating patient estimates, guiding patients through payment options, and ensuring compliance with HIPAA and regulatory standards while maintaining timely communication with departments.

Qualifications

• 1-3 years related experience in billing, insurance or registration.
• 1-3 years healthcare experience
• Experience interpreting insurance plans and authorizations.

Responsibilities

• Process eligibility and obtain full benefit coverage information with insurance companies and employers.
• Verify demographic information and coordination of benefit accuracy.
• Obtain pre-certifications/authorization as required by payers.
• Calculate and communicate patient estimates for hospital services and deposits.
• Educate patients on benefits and available payment methods and assist with financial options.

Skills

Insurance verification

Authorization processes

Communication skills

Billing knowledge

Patient financial responsibility

Education

Associate's degree in finance/business/healthcare

Job description

Avera Health is seeking a focused Insurance Eligibility Specialist to verify benefits and secure required authorizations. You will collect accurate patient data, explain financial responsibilities, and coordinate with payers to prevent denials.

Responsibilities include calculating patient estimates, guiding patients through payment options, and ensuring compliance with HIPAA and regulatory standards while maintaining timely communication with departments.