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

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $21 - $25 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 17%

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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Prompt Therapy Solutions Inc

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Prompt Therapy Solutions Inc. is a company that provides therapy-focused software solutions designed to enhance the efficiency and profitability of clinics. They offer a range of features including AI-powered scheduling, patient management, billing, and reporting tools. Their platform caters to various practice sizes, from startup clinics to large enterprises, aiming to optimize clinic operations and improve patient satisfaction. The company's AI solutions help streamline workflows for roles such as front desk staff, therapists, billers, and clinic owners. Through advanced analytics and automated processes, Prompt Therapy Solutions seeks to modernize practice management and drive growth for therapy providers.

📋 Description

• Monitor customer schedules for next-day appointments scheduled or insurance information added after standard daytime BVA coverage • Verify patient insurance coverage, eligibility, and benefits prior to next-day services • Determine patient responsibility for copays, deductibles, and coinsurance • Prioritize work based on appointment timing, ensuring the earliest next-day appointments are addressed first • Identify prior authorization requirements and complete appropriate next steps when possible • Clearly document and hand off authorization needs or other items requiring payer or clinic follow-up during normal business hours • Document benefit verification and authorization details accurately in the system • Identify missing information or other barriers preventing verification and clearly document required next steps • Provide a clear handoff to the daytime BVA team for outstanding items that cannot be completed overnight • Collaborate with BVA, scheduling, billing, and AR teams to ensure accurate workflows • Identify trends in late-added appointments, benefit issues, or authorization barriers and escalate as needed • Support denial prevention efforts by ensuring payer requirements are identified and addressed upfront • Support additional BVA work and operational priorities once next-day coverage is complete

🎯 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 with ability to work across patients, providers, and payers • Familiarity with payer authorization portals and workflows • Knowledge of denial management and insurance appeal processes • Demonstrated ability to work independently, manage priorities, and make sound decisions with limited real-time supervision • High degree of reliability, integrity, and personal accountability, with a proven ability to be trusted with time-sensitive responsibilities and follow through on commitments • Legally authorized to work in the US • Located in the US • Able and willing to consistently work an evening/overnight schedule Sunday through Thursday, including a fixed Sunday shift from 10:00 PM–7:00 AM EST

🏖️ Benefits

• Competitive salaries • Remote/hybrid environment • Potential equity compensation for outstanding performance • Flexible PTO • Company-wide sponsored lunches • Company paid disability and life insurance benefits • Company paid family and medical leave • Medical, dental, and vision insurance benefits • Discounted pet insurance • FSA/DCA and commuter benefits • 401k • Complimentary subscription to digital fitness classes and wellness content • Recovery suite at HQ – includes a cold plunge, sauna, and shower