Remote Insurance Verifications & Authorizations Specialist

Blackbird Health; Miami (FL); Remote; USD 32,000 - 34,000; Full time

Job summary

Blackbird Health is seeking an Insurance Verification & Authorization Specialist to help children and families access care by verifying insurance benefits, coordinating prior authorizations and referrals, and identifying coverage barriers.

You’ll review patient requests, navigate behavioral health requirements, and collaborate with internal teams and carriers to ensure a smooth patient experience. This full-time remote role offers $23–$25/hour and Eastern Time hours.

Qualifications

• Experience in healthcare insurance verification, eligibility, benefits determination, prior authorizations, or referrals.
• Strong understanding of insurance terminology, including copays, coinsurance, deductibles, and out-of-pocket costs.
• Exceptional attention to detail with the ability to manage high-volume workflows, investigate coverage discrepancies, and maintain accuracy.
• Strong communication, organizational, and problem-solving skills when working with patients, insurance carriers, and internal teams.
• Experience with behavioral health insurance benefits, prior authorizations, or specialty healthcare is a strong plus.
• Familiarity with EHR systems such as Athenahealth and insurance portals is a plus, along with the ability to maintain patient confidentiality and comply with HIPAA requirements.

Responsibilities

• Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients.
• Review incoming patient inquiries to confirm age, location, insurance participation, and service eligibility.
• Identify complexities within insurance plans, including third-party behavioral health administrators and payer-specific coverage requirements.
• Obtain, submit, and track prior authorizations and referrals to ensure timely access to care.
• Communicate with insurance carriers to resolve coverage discrepancies and explain patient financial responsibilities, including copays, coinsurance, and deductibles.
• Manage high-volume requests through internal ticketing and EHR systems, maintaining accurate documentation and collaborating with internal teams to resolve barriers to care.

Skills

Healthcare insurance verification

Eligibility determination

Prior authorizations

Referrals

Athenahealth

Tools

Athenahealth

Job description

Blackbird Health is seeking an Insurance Verification & Authorization Specialist to help children and families access care by verifying insurance benefits, coordinating prior authorizations and referrals, and identifying coverage barriers.

You’ll review patient requests, navigate behavioral health requirements, and collaborate with internal teams and carriers to ensure a smooth patient experience. This full-time remote role offers $23–$25/hour and Eastern Time hours.