Remote Benefits Verification & Authorization Specialist

Prompt; United States; Hybrid; USD 48,000 - 72,000; Full time

Benefits offered by this job

Competitive salaries

Remote/hybrid environment

Equity compensation

Flexible PTO

Sponsored lunches

Disability & life insurance

Family & medical leave

Medical, dental, and vision

Pet insurance

FSA/DCA & commuter

401k

Wellness content

Wellness suite

Job summary

Prompt is seeking a Benefits Verification and Auth Specialist to verify insurance eligibility, determine patient responsibility, and obtain prior authorizations. You will document details in the system and coordinate with scheduling, billing, and AR teams to ensure smooth workflows.

In this role you will communicate with providers and payers, monitor pending authorizations, and help prevent claim denials by meeting payer requirements upfront.

Qualifications

• 1–2 years of experience in benefit verification, medical insurance, or prior authorization.
• Strong knowledge of commercial and government payers, insurance policies, and healthcare terminology.
• Excellent attention to detail and organizational skills.
• Strong communication skills with ability to work across patients, providers, and payers.
• Experience with RCM systems and EMRs
• Familiarity with payer authorization portals and workflows.
• Knowledge of denial management and insurance appeal processes.

Responsibilities

• Verify patient insurance coverage, eligibility, and benefits prior to services.
• Determine patient responsibility for copays, deductibles, and coinsurance.
• Obtain required prior authorizations from payers for services, procedures, or medications.
• Document benefit verification and authorization details accurately in the system.
• Collaborate with scheduling, billing, and AR teams to ensure accurate workflows.
• Communicate clearly with providers and payers regarding authorization status.
• Monitor and track pending authorizations; follow up to prevent delays.
• Identify trends in benefit issues or authorization delays and elevate as needed.
• Support denial prevention efforts by ensuring all payer requirements are met upfront.

Skills

Benefit verification

Medical insurance terminology

Attention to detail

Organizational skills

Communication skills

RCM systems

EMRs

Payer portals

Denial management

Tools

RCM systems

EMR systems

Job description

Prompt is seeking a Benefits Verification and Auth Specialist to verify insurance eligibility, determine patient responsibility, and obtain prior authorizations. You will document details in the system and coordinate with scheduling, billing, and AR teams to ensure smooth workflows.

In this role you will communicate with providers and payers, monitor pending authorizations, and help prevent claim denials by meeting payer requirements upfront.