Senior Benefits & Authorization Lead

University of Maryland Faculty Physicians, Inc.; Annapolis (MD); On-site; USD 52,000 - 78,000; Full time

Job summary

University of Maryland Faculty Physicians, Inc. is seeking a Lead Benefits and Authorization Specialist for Chesapeake Specialty Care.

The role leads insurance verification and prior authorization workflows, mentors the Benefits and Authorization team, and partners with Scheduling, Clinical Operations, Surgical Coordinators, Billing, and Revenue Cycle Leadership to improve accuracy and reduce denials. The ideal candidate has 4–5 years in medical billing/authorization and 1–2 years in healthcare

Qualifications

• 4–5 years of experience in medical billing, benefits verification, or authorization management.
• 1–2 years of healthcare leadership, lead, mentoring, or supervisory experience preferred.
• Strong knowledge of medical insurance plans including commercial, Medicare, Medicaid, and Tricare.
• Advanced understanding of prior authorization requirements and payer policies.
• Familiarity with CPT/ICD-10 codes and medical terminology.

Responsibilities

• Serve as the primary resource for Benefits and Authorization Specialists and provide day-to-day guidance and support.
• Assist with onboarding and training of new team members.
• Monitor departmental work queues to ensure insurance verification and authorization requests are completed timely.
• Review work for accuracy and provide coaching opportunities as needed.
• Escalate payer issues, authorization delays, and workflow concerns to the RCM Director.
• Assist with development and maintenance of departmental policies and procedures.
• Promote collaboration between Revenue Cycle, Clinical Operations, Scheduling, Surgery Scheduling, and other departments.
• Verify patient insurance eligibility and benefits for scheduled appointments and procedures.

Skills

Insurance verification

Prior authorization

Leadership

Communication

Education

High school diploma or equivalent

Associate's degree preferred

Tools

EHR platforms

Job description

University of Maryland Faculty Physicians, Inc. is seeking a Lead Benefits and Authorization Specialist for Chesapeake Specialty Care.

The role leads insurance verification and prior authorization workflows, mentors the Benefits and Authorization team, and partners with Scheduling, Clinical Operations, Surgical Coordinators, Billing, and Revenue Cycle Leadership to improve accuracy and reduce denials. The ideal candidate has 4–5 years in medical billing/authorization and 1–2 years in healthcare