Benefits and Authorization Specialist

The Benefits Coordinator/Authorization Specialist serves as a vital link between insurance companies and clinical staff. This position is responsible for verifying patient insurance benefits, obtaining prior authorizations, and communicating information to the appropriate office personnel. The Benefits Coordinator/Authorization Specialist plays a key role in the revenue cycle by ensuring accurate benefit information is captured upfront to minimize claim denials and patient billing surprises.

Qualifications

• High school diploma or equivalent 
• Minimum 2-3 years of experience in medical billing 
• Strong knowledge of medical insurance plans (commercial, Medicare, Medicaid, Tricare) 
• Familiarity with medical terminology and CPT/ICD-10 codes 
• Experience with practice management systems and EHR platforms 
• Excellent communication and customer service skills 
• Knowledge of basic medical coding and third-party operation procedures and practices.
• Ability to operate a multi-line telephone system and answer a telephone in a pleasant and helpful manner.
• Familiarity with Microsoft applications, including, but not limited to Word and Excel.
• Strong written and verbal communication skills including the ability to confidently speak to patients
• Excellent organizational skills to manage multiple tasks throughout the day.
• Demonstrate the ability to work as a team player in a very cohesive medical practice.
• Ability to communicate and work well with co-workers. Open and honest communication.
• Ability to effectively communicate orally and in writing with internal and external business professionals.
• Must be responsible, reliable, and able to carry out job functions

Total Rewards

The referenced base salary range represents the low and high end of Specialty Care Networks’ salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate’s geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. Specialty Care Network offers a total rewards package that supports our employee’s life, career and retirement.