Onsite Benefits Verification & Authorization Specialist

Spectraforce Technologies, Inc.; Florida; On-site; USD 40,000 - 50,000; Full time

Job summary

Spectraforce Technologies, Inc. seeks a Verification of Benefits Specialist for 100% onsite in Lake Mary, FL. You will verify insurance benefits, initiate pre-authorizations, and coordinate with insurers to resolve coverage questions.

The role runs Monday–Friday, 8:00am to 5:00pm, on an assignment lasting 6 months. A HS diploma and prior authorization/benefits verification experience are required, with strong communication skills essential. Experience with denials and appeals is a plus.

Qualifications

• Must have prior authorization/verification experience.
• Preferred to start ASAP after screenings.
• Minimum 1 year experience in insurance benefits verification or related fields.
• Excellent verbal and written communication skills with internal and external customers.
• Ability to work under pressure and meet deadlines.

Responsibilities

• Contacts insurance companies to verify benefits and coverage.
• Initiates pre-authorization, PCP referral, and Letter of Agreement requests with follow-up.
• Files appeals for denied coverage when needed.
• Maintains patient records in the practice management system related to benefits, authorizations, denials, and outcomes.
• Coordinates with other departments to obtain necessary information for verifications and authorizations.
• Provides customers with status updates and estimates of patient financial responsibility, including co-pays if applicable.
• Applies company procedures and guidelines to process cases and update records accordingly.
• Performs other related duties as assigned.

Skills

Medicare rules

Managed care

MS Office

Communication skills

Education

HS diploma or GED

Job description

Spectraforce Technologies, Inc. seeks a Verification of Benefits Specialist for 100% onsite in Lake Mary, FL. You will verify insurance benefits, initiate pre-authorizations, and coordinate with insurers to resolve coverage questions.

The role runs Monday–Friday, 8:00am to 5:00pm, on an assignment lasting 6 months. A HS diploma and prior authorization/benefits verification experience are required, with strong communication skills essential. Experience with denials and appeals is a plus.