Insurance Verification & Authorization Specialist

Solaris Health Holdings LLC; United States; Remote; USD 48,000 - 60,000; Full time

Benefits offered by this job

Health savings account

Paid time off

Retirement plan

Job summary

Solaris Health Holdings LLC is seeking a Financial Clearance Specialist to ensure patients are financially cleared before receiving services by verifying insurance eligibility and obtaining prior authorizations.

The role collaborates with scheduling, clinical, and billing teams under the guidance of the Manager/Supervisor of Financial Clearance, ensuring timely and compliant processes. Strong attention to detail and experience with payer portals are essential.

Qualifications

• High School Diploma or equivalent required.
• Associate’s degree in healthcare, business, or related field preferred.
• 1–3 years of experience in insurance verification, medical authorizations, or revenue cycle operations.
• Knowledge of commercial, Medicare, Medicaid, and managed care insurance plans.

Responsibilities

• Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers.
• Submit prior authorization requests for services, tests, and procedures based on payer requirements.
• Monitor and follow up on pending authorizations to avoid delays in patient care.
• Coordinate with clinical staff to gather and submit necessary documentation for authorization approval.
• Communicate with patients regarding their insurance coverage and financial responsibilities.

Skills

Attention to detail

Communication skills

Problem-solving

Organizational skills

Education

High School Diploma or equivalent

Associate’s degree preferred

Tools

EHR systems

Payer portals

Microsoft Office

Job description

Solaris Health Holdings LLC is seeking a Financial Clearance Specialist to ensure patients are financially cleared before receiving services by verifying insurance eligibility and obtaining prior authorizations.

The role collaborates with scheduling, clinical, and billing teams under the guidance of the Manager/Supervisor of Financial Clearance, ensuring timely and compliant processes. Strong attention to detail and experience with payer portals are essential.