Benefits Verification and Auth Specialist, Full-Time, Evenings/Overnight Shift, Flexible Schedule

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee customer schedules to manage next-day appointments or updates to insurance information added outside standard daytime BVA coverage.

• Confirm patient insurance coverage, eligibility, and benefits prior to services scheduled for the next day.

• Assess patient financial responsibilities for copays, deductibles, and coinsurance.

• Prioritize tasks based on appointment urgency, ensuring that the earliest next-day appointments receive attention first.

• Recognize prior authorization requirements and take necessary actions when feasible.

• Thoroughly document and communicate authorization requirements or other items needing payer or clinic follow-up during regular business hours.

• Accurately record benefit verification and authorization details in the system.

• Identify any missing information or obstacles that hinder verification and clearly outline the necessary subsequent steps.

• Provide an effective handoff to the daytime BVA team for any outstanding issues that cannot be resolved overnight.

• Collaborate with BVA, scheduling, billing, and accounts receivable teams to ensure proper workflows.

• Detect trends in late-added appointments, benefit complications, or authorization challenges and escalate as necessary.

• Assist in denial prevention initiatives by ensuring payer requirements are identified and addressed from the outset.

• Contribute to additional BVA tasks and operational priorities once next-day coverage obligations are fulfilled.

⛳️ Requirements

• 1–2 years of experience in benefit verification, medical insurance, or prior authorization.

• Solid understanding of commercial and government payers, insurance policies, and healthcare terminology.

• Exceptional attention to detail and strong organizational abilities.

• Excellent communication skills with the ability to collaborate effectively with patients, providers, and payers.

• Familiarity with payer authorization portals and associated workflows.

• Knowledge of denial management and the insurance appeals process.

• Proven ability to work independently, manage competing priorities, and make informed decisions with minimal supervision.

• High level of reliability, integrity, and accountability, with a history of managing time-sensitive responsibilities and following through on commitments.

• Legally authorized to work in the United States.

• Residing in the United States.

• Willing and able to consistently work an evening/overnight schedule from Sunday to Thursday, including a fixed Sunday shift from 10:00 PM to 7:00 AM EST.

🏝️ Benefits

• Competitive salaries.

• Remote/hybrid working environment.

• Potential equity compensation for exceptional performance.

• Flexible paid time off.

• Company-sponsored lunches for all employees.

• Company-paid disability and life insurance benefits.

• Company-paid family and medical leave.

• Medical, dental, and vision insurance options.

• Discounted pet insurance.

• Flexible Spending Account (FSA) and Dependent Care Account (DCA) along with commuter benefits.

• 401k retirement plan.

• Complimentary access to digital fitness classes and wellness content.

• Recovery suite at headquarters featuring a cold plunge, sauna, and shower facilities.