Insurance Verification Specialist

Sbhonline; New York (NY); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company match

Paid holidays and PTO

Paid orientation

Employee referral program

Job summary

A healthcare organization is seeking an Insurance Verification Specialist to manage authorizations and act as a liaison between clinical teams and managed care providers. The role includes coordinating authorization requests, maintaining compliance, and overseeing operations. The ideal candidate will have strong organizational skills, relevant experience, and the ability to lead a team. Benefits include health insurance, 401(k) matching, and paid time off.

Qualifications

• 2 years of experience with HMOs, commercial insurance, or managed care regulations.
• Supervisory or team leadership experience preferred.
• Strong organizational, prioritization, and multitasking skills.
• Proficiency in Microsoft Office (Outlook, Excel, Word) and EMR systems.

Responsibilities

• Coordinate with clinical teams for authorization requests.
• Maintain records and provide updates to internal teams.
• Supervise and oversee team members in authorization processes.
• Enter and manage authorization data within EMR systems.
• Communicate with insurance providers regarding approvals, denials, and status updates.
• Verify authorization details including service approvals, timeframes, and visit counts.
• Monitor pending requests and follow up on delayed authorizations.
• Maintain accurate records and provide updates to internal teams.
• Assist billing team with authorization discrepancies and reporting.
• Build and maintain relationships with insurance contacts to streamline communication.
• Organize and prioritize authorization workflows based on urgency.
• Supervise and provide oversight to team members handling authorization processes.
• Assign and monitor daily tasks to ensure productivity and quality standards.

Skills

Organizational skills

Written communication

Microsoft Office proficiency

Problem-solving

Leadership ability

Team leadership

Problem solving

Collaborative work

Education

Associate degree or 5+ years of relevant experience

Bachelor's degree preferred

Tools

EMR systems (e.g., McKesson)

EMR systems (McKesson)

Job description

Insurance Verification Specialist

Location: Brooklyn, NY

Employment Type: Full-Time

Schedule: Monday through Friday, Standard Business Hours

Salary: Based on Experience

Description A healthcare organization is seeking an Insurance Verification Specialist to manage authorizations and act as a liaison between clinical teams and managed care providers. This role is responsible for ensuring timely processing of authorizations, maintaining compliance with insurance requirements, and overseeing daily operations within the authorization team. The ideal candidate is highly organized, detail‑oriented, and experienced in managed care processes.

What You’ll Do

• Coordinate with clinical teams to prepare and submit authorization requests to managed care and HMO providers
• Obtain, track, and maintain authorizations for patient services
• Create formal authorization requests using clinical documentation and patient information
• Enter and manage authorization data within EMR systems
• Communicate with insurance providers regarding approvals, denials, and status updates
• Verify authorization details including service approvals, timeframes, and visit counts
• Monitor pending requests and follow up on delayed authorizations
• Maintain accurate records and provide updates to internal teams
• Assist billing team with authorization discrepancies and reporting
• Build and maintain relationships with insurance contacts to streamline communication
• Organize and prioritize authorization workflows based on urgency

Leadership Responsibilities

• Supervise and provide oversight to team members handling authorization processes
• Assign and monitor daily tasks to ensure productivity and quality standards
• Resolve operational issues and support team performance
• Prepare and deliver weekly and monthly reports
• Assist with staffing coordination and workflow management

Requirements

• Associate degree or 5+ years of relevant experience required; Bachelor’s degree preferred
• Minimum 2 years of experience with HMOs, commercial insurance, or managed care regulations
• Supervisory or team leadership experience preferred
• Strong organizational, prioritization, and multitasking skills
• Excellent verbal and written communication skills
• Ability to work collaboratively and solve problems independently
• Proficiency in Microsoft Office (Outlook, Excel, Word)
• Familiarity with EMR systems such as McKesson or similar platforms

Benefits

• Health, dental, and vision insurance
• 401(k) with company match
• Paid holidays and PTO
• Paid orientation
• Employee referral program