Insurance Verification Auth Specialist

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Insurance Verification Auth Specialist in the United States.

This role plays a critical part in ensuring patients receive timely financial clearance and authorization for complex medical services, including surgical procedures, oncology treatments, and infusion therapies. You will serve as a key liaison between patients, healthcare providers, and insurance payers, ensuring that all eligibility, referral, and prior authorization requirements are accurately completed and monitored. The position requires strong attention to detail and the ability to interpret insurance policies, medical documentation, and coding guidelines to support accurate authorization decisions. Working in a fast-paced healthcare environment, you will help reduce claim denials and support uninterrupted patient care. You will also act as a subject matter expert within patient access workflows, supporting both clinical and administrative teams. This is a day-shift role within a mission-driven healthcare organization focused on high-quality patient service and operational excellence.

In this role, you will manage insurance verification and prior authorization processes to ensure accurate financial clearance and support timely access to specialized healthcare services.

• Secure prior authorizations for complex, high-cost inpatient and outpatient procedures, including surgical, oncology, and infusion services
• Verify insurance eligibility, benefits, referrals, and authorization requirements across multiple payer systems
• Submit, track, and monitor authorization requests to ensure timely approval and minimal disruption to patient care
• Review medical records and supporting documentation to ensure accuracy and completeness for payer submission
• Communicate with insurance carriers, providers, and patients to resolve authorization issues and gather required information
• Respond to payer inquiries through insurance portals to support approval processes and reduce delays
• Perform essential registration and administrative tasks, including insurance data entry and order processing
• Serve as a subject matter expert on insurance guidelines, referrals, and authorization workflows within the organization

Requirements:

This role requires healthcare insurance and authorization experience, strong analytical skills, and the ability to navigate complex payer requirements in a fast-paced clinical environment.

• Minimum 2 years of experience in prior authorization, insurance billing, admissions, registration, or referral coordination in a healthcare setting
• Experience handling complex, high-dollar medical authorizations or specialty service lines preferred
• Strong understanding of medical terminology and healthcare workflows
• Ability to interpret payer policies, CPT, and HCPCS coding guidelines
• Customer service experience in a healthcare environment
• Strong attention to detail with high accuracy in documentation and data entry
• Ability to manage multiple priorities and meet productivity standards in a fast-paced setting
• Strong communication and problem-solving skills when working with providers, payers, and patients
• Preferred: completion of a healthcare vocational program or post-secondary coursework
• Preferred: NAHAM certification or equivalent healthcare access credential

Benefits:

This position offers a competitive compensation package along with comprehensive benefits designed to support well-being, career growth, and financial security.

• Hourly pay range of $23.20 – $33.38 USD, based on experience and qualifications
• Medical, dental, and vision insurance coverage
• Paid time off and generous leave policies
• Retirement savings plan options
• Employee assistance and wellness support programs
• Tuition assistance and career development opportunities
• Inclusive, community-focused work environment
• Opportunity to contribute to meaningful patient care access and coordination