Blackbirdhealth
Insurance Verification & Authorization Specialist
Remote. Posted a month ago
The role
You will verify insurance benefits, coordinate prior authorizations and referrals, and identify coverage barriers. You will review patient requests and collaborate with insurance carriers to ensure access to care.
What you will do
- 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.
- Manage high-volume requests through internal ticketing and EHR systems.
- Collaborate with internal teams to resolve barriers to care.
Required 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.
- Ability to maintain patient confidentiality and comply with HIPAA requirements.
Nice to have
- Experience with behavioral health insurance benefits, prior authorizations, or specialty healthcare
- Familiarity with EHR systems such as Athenahealth and insurance portals
Benefits
- Benefits Eligible
About the company
Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. They deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland.