[Hiring] Authorization & Benefits Specialist @Flexscale

Role Description

We are seeking a detail-oriented, proactive professional to manage both insurance benefit verification and authorization workflows prior to the start of therapy services. The ideal candidate is highly organized, comfortable working within insurance portals, and committed to ensuring patients experience seamless access to care. You take ownership of complex insurance processes, communicate clearly, and thrive in a fast-paced healthcare environment.

• Contact insurance carriers to obtain benefit quotes at least 72 business hours prior to the onset of patient care.
• Verify patient insurance eligibility, coverage limitations, deductibles, copays, and coinsurance.
• Translate and accurately enter benefit information into the EMR system to support clean claims and reimbursement.
• Obtain and maintain insurance authorizations prior to delivery of therapy services across all clinic locations.
• Submit required documentation, referrals, and medical records to insurance carriers to expedite authorization approvals.
• Track authorization status and follow up proactively to prevent delays in patient care.
• Maintain accurate, consistent patient records and review all information for completeness.
• Communicate benefit details, authorization requirements, and financial responsibility to patients and internal teams.
• Serve as a patient advocate by addressing benefit and authorization issues with insurance carriers.
• Answer questions from providers, clinic staff, and patients related to benefits and authorization requirements.
• Prioritize workload to ensure urgent cases are handled in a timely manner.
• Follow established workflows, protocols, and procedures set by leadership.
• Support departmental productivity and quality assurance goals.
• Assist with onboarding and cross-training of team members as needed.

Qualifications

• 1–2 years of experience in medical insurance verification, benefits, authorizations, or related healthcare administrative role.
• Familiarity with prior authorizations, referrals, and insurance benefit interpretation.
• Experience working with EMR systems and insurance portals.
• Strong customer service skills with professional and empathetic communication.
• Excellent verbal and written communication abilities.
• High attention to detail with strong organizational and prioritization skills.
• Ability to manage multiple tasks in a deadline-driven environment.
• Self-starter who can work independently and collaboratively within a team.
• Strong problem-solving and critical thinking abilities.

Benefits

• Work From Home: Enjoy the flexibility of remote work to balance professional and personal life effectively.
• Generous Paid Time Off: 18 annual paid leaves starting from your first month.
• US Holidays Observance: Paid time off for designated US holidays.
• Free HMO Coverage: Comprehensive healthcare coverage at no cost to you.

Hiring Process

• Application Submission: Submit your resume and cover letter via the application portal.
• Screening Call: Initial call with a recruiter to review your experience and fit for the role.
• Interviews: 1–2 rounds with the hiring manager and key stakeholders.
• Offer & Onboarding: Successful candidates will receive an offer and onboarding details.