Remote Evening Benefits & Authorization Specialist

Launch Tennessee

United States

Hybrid

USD 52,000 - 72,000

Full time

10 days ago
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Benefits offered by this job

Competitive salaries
Remote/hybrid environment
Equity compensation potential
Flexible PTO
Company-sponsored lunches
Disability and life insurance
Family and medical leave
Medical, dental, and vision insurance
Pet insurance
FSA/DCA and commuter benefits
401k
Wellness subscription
Recovery suite at HQ

Job summary

Prompt Therapy Solutions, Inc is seeking a Benefits Verification and Auth Specialist for evenings and overnight shifts. You will verify patient benefits, obtain authorizations, and ensure smooth early next-day coverage for scheduled visits.

Role includes collaborating with scheduling, billing and AR teams, with a focus on reducing denials and supporting revenue cycle through efficient after-hours processing.

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.
  • Familiarity with payer authorization portals and workflows.
  • Knowledge of denial management and insurance appeal processes.
  • Demonstrated ability to work independently, manage priorities, and make sound decisions with limited real-time supervision.
  • High degree of reliability, integrity, and personal accountability, with a proven ability to be trusted with time-sensitive responsibilities and follow through on commitments.

Responsibilities

  • Monitor customer schedules for next-day appointments scheduled or insurance information added after standard daytime BVA coverage.
  • Verify patient insurance coverage, eligibility, and benefits prior to next-day services.
  • Determine patient responsibility for copays, deductibles, and coinsurance.
  • Prioritize work based on appointment timing, ensuring the earliest next-day appointments are addressed first.
  • Identify prior authorization requirements and complete appropriate next steps when possible.
  • Clearly document and hand off authorization needs or other items requiring payer or clinic follow-up during normal business hours.
  • Document benefit verification and authorization details accurately in the system.
  • Identify missing information or other barriers preventing verification and clearly document required next steps.
  • Provide a clear handoff to the daytime BVA team for outstanding items that cannot be completed overnight.
  • Collaborate with BVA, scheduling, billing, and AR teams to ensure accurate workflows.
  • Identify trends in late-added appointments, benefit issues, or authorization barriers and elevate as needed.
  • Support denial prevention efforts by ensuring payer requirements are identified and addressed upfront.
  • Support additional BVA work and operational priorities once next-day coverage is complete.

Job description

Prompt Therapy Solutions, Inc is seeking a Benefits Verification and Auth Specialist for evenings and overnight shifts. You will verify patient benefits, obtain authorizations, and ensure smooth early next-day coverage for scheduled visits.

Role includes collaborating with scheduling, billing and AR teams, with a focus on reducing denials and supporting revenue cycle through efficient after-hours processing.

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