Benefits Verification and Authorization Specialist

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Prompt Therapy Solutions Inc

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

⚡ Productivity

☁️ SaaS

Healthcare Insurance • Productivity • SaaS

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

• 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, providers, and payers regarding authorization status. • Monitor and track pending authorizations; follow up 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 with ability 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 • 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