Insurance Specialist – Prior Authorization

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Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Meduit | Driving Revenue Cycle Performance is a healthcare revenue cycle management firm that combines expert RCM operations with AI, robotic process automation, and advanced analytics to help hospitals, health systems, and large medical practices accelerate cash flow, reduce claim denials, and improve patient payment experiences. The company provides end-to-end services — pre-registration, billing and follow-up, denials resolution, extended business office, legacy A/R workdown, bad debt recovery, staffing, and consulting — alongside technology offerings including MeduitAI™, SARA (a supervised autonomous revenue associate), predictive analytics, and conversational/payment automation.

📋 Description

• Verify patient insurance eligibility, benefits, and coverage requirements • Obtain prior authorizations and referrals from insurance carriers in accordance with payer requirements • Communicate with insurance companies, provider offices, and patients to collect information necessary for authorization approval • Research and resolve authorization-related issues that could impact patient access to services • Review accounts for medical necessity, payer requirements, and benefit limitations • Document authorization activity and maintain accurate account records • Update patient demographic, insurance, and payer information as needed • Monitor authorization status and ensure timely follow-up on pending requests • Utilize payer portals, eligibility tools, and healthcare software systems to support authorization activities • Maintain established productivity, quality, and accuracy standards • Collaborate with operational, billing, and clinical teams to support reimbursement and patient access goals

🎯 Requirements

• High School Diploma or GED • 2+ years of prior authorization, insurance verification, medical billing, patient access, or healthcare revenue cycle experience • Experience with Medicare, Medicaid, and commercial payers • Experience with Workers' Compensation pre-access or authorization processes • Knowledge of insurance eligibility, authorization, and benefits verification processes • Proficiency with Microsoft Office (Outlook, Word, and Excel) • Experience working in a hospital, physician practice, or healthcare revenue cycle environment preferred • Experience using Epic, Cerner, Meditech, or other healthcare information systems preferred • Experience utilizing payer portals and authorization systems preferred • Knowledge of medical terminology and coding preferred • Previous remote healthcare experience preferred • Secure and private workspace within the home • Reliable wired high-speed internet connection • Minimum internet speeds of 30 Mbps download and 10 Mbps upload • Ability to maintain a professional and distraction-free work environment during scheduled working hours • Legally authorized to work in the United States at the time of hire • Must pass a pre-employment background check • Satisfactory references and any required documentation • Candidates residing in the state of New York cannot be considered • Employment visa sponsorship is not provided

🏖️ Benefits

• Comprehensive Paid Training • Medical, Dental & Vision Insurance • HSA & FSA Available • 401(k) with Company Match • Paid Wellness Time & Holidays • Employer-Paid Life Insurance & Long-Term Disability • Internal Growth Opportunities • Work-from-home arrangement • Secure and private home workspace • Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring decisions