Benefits Verification and Auth Specialist

Responsibilities

• Verify patient insurance coverage, eligibility, and benefits prior to services
• Determine patient responsibility for copays, deductibles, and coinsurance
• Obtain required prior authorizations from payers for services, procedures, or medications
• Document benefit verification and authorization details accurately in the system
• Collaborate with scheduling, billing, and AR teams to ensure accurate workflows
• Communicate clearly with providers and payers regarding authorization status
• Monitor and track pending authorizations to prevent delays
• Identify trends in benefit issues or authorization delays and escalate as needed
• Support denial prevention efforts by ensuring all payer requirements are met upfront

Requirements

• 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 to work across patients, providers, and payers
• Experience with RCM systems and EMRs
• Familiarity with payer authorization portals and workflows
• Knowledge of denial management and insurance appeal processes

Benefits

• Competitive salaries
• Potential equity compensation
• Flexible PTO
• Medical, dental, and vision insurance benefits
• Company paid disability and life insurance
• Company paid family and medical leave
• 401k
• FSA/DCA and commuter benefits
• Discounted pet insurance
• Digital fitness and wellness subscriptions

About the Company

Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, their teams, and the patients they serve.