[Hiring] Benefits Verification and Authorization Specialist @Prompt

Role Description

The BVA Specialist – Evening/Overnight is responsible for providing after-hours benefit verification coverage for appointments scheduled or insurance information added late in the day for the following day. This role serves as an extension of the daytime BVA team, ensuring newly added next-day visits are identified and worked before clinics open. The BVA Specialist will:

• Verify patient insurance eligibility and benefits
• Identify authorization requirements
• Document findings accurately
• Ensure any items that cannot be completed overnight are clearly handed off for follow-up

When next-day coverage is complete, this role will support additional BVA work and priorities as needed. This role is essential to ensuring a smooth revenue cycle, preventing avoidable claim denials, and minimizing the impact of late scheduling activity on our customers and their patients.

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

Requirements

• 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 escalate 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

Benefits

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Complimentary subscription to digital fitness classes and wellness content
• Recovery suite at HQ – includes a cold plunge, sauna, and shower