Insurance Verification and Authorization Specialist

🔥 20 hours ago

🇺🇸 United States – Remote

💵 $23 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Blackbird Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Blackbird Health is a mental health practice dedicated to assisting kids and young adults with social, developmental, and school-related challenges. For nearly a decade, Blackbird Health has been eliminating the trial and error from diagnosis and treatment to achieve faster and more effective outcomes. It offers a virtual-first model with optional in-person care, providing quick service through personalized assessments, diagnoses, and treatments. The practice specializes in addressing issues such as anxiety, depression, ADHD, autism, and more, utilizing a comprehensive range of therapies and support systems.

📋 Description

• Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients • Review incoming patient inquiries to confirm age, location, insurance participation, and service eligibility • Identify complexities within insurance plans, including third-party behavioral health administrators and payer-specific coverage requirements • Obtain, submit, and track prior authorizations and referrals • Communicate with insurance carriers to resolve coverage discrepancies and explain patient financial responsibilities, including copays, coinsurance, and deductibles • Manage high-volume requests through internal ticketing and EHR systems • Maintain accurate documentation and collaborate with internal teams to resolve barriers to care • Help children and families access pediatric mental health care

🎯 Requirements

• Experience in healthcare insurance verification, eligibility, benefits determination, prior authorizations, or referrals • Strong understanding of insurance terminology, including copays, coinsurance, deductibles, and out-of-pocket costs • Exceptional attention to detail and ability to manage high-volume workflows, investigate coverage discrepancies, and maintain accuracy • Strong communication, organizational, and problem-solving skills • Experience with behavioral health insurance benefits, prior authorizations, or specialty healthcare is a strong plus • Familiarity with EHR systems such as Athenahealth and insurance portals is a plus • Ability to maintain patient confidentiality and comply with HIPAA requirements • Ability to work Monday-Friday during Eastern Time business hours • Eastern Time Zone preferred

🏖️ Benefits

• Benefits eligible • Full-time employment • Hourly (non-exempt) compensation • Fully remote work arrangement