Lead Benefits and Authorization Specialist

🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $21 - $31 / hour

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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University of Maryland Faculty Physicians

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

📚 Education

🧘 Wellness

Healthcare • Education • Wellness

University of Maryland Faculty Physicians is a clinical group practice affiliated with the University of Maryland School of Medicine that provides a wide range of outpatient medical services, including dermatology, cardiology, ophthalmology, urgent care, facial plastic surgery, and medi-spa treatments. The organization operates multiple patient-facing clinics, offers patient portal services (MyChart), appointment scheduling, billing, and partners with the university for clinical education and faculty-led care.

📋 Description

• Serve as the primary resource for Benefits and Authorization Specialists and provide day-to-day guidance and support • Assist with onboarding and training of new team members • Monitor departmental work queues to ensure insurance verification and authorization requests are completed timely • Review work for accuracy and provide coaching opportunities as needed • Escalate payer issues, authorization delays, and workflow concerns to the RCM Director • Assist with development and maintenance of departmental policies and procedures • Promote collaboration between Revenue Cycle, Clinical Operations, Scheduling, Surgery Scheduling, and other departments • Verify patient insurance eligibility and benefits for scheduled appointments and procedures • Confirm coverage details including deductibles, co-pays, coinsurance, and out-of-pocket maximums • Maintain individual productivity while providing guidance, training, quality review, and workflow oversight for the Benefits and Authorization team

🎯 Requirements

• High school diploma or equivalent required; Associate's degree preferred • Minimum 4-5 years of experience in medical billing, benefits verification, or authorization management • Minimum 1-2 years of healthcare leadership, lead, mentoring, or supervisory experience preferred • Strong knowledge of medical insurance plans including commercial, Medicare, Medicaid, and Tricare • Advanced understanding of prior authorization requirements and payer policies • Familiarity with medical terminology and CPT/ICD-10 codes • Experience with practice management systems and EHR platforms • Strong knowledge of medical coding, third-party payer processes, and revenue cycle operations • Excellent communication and customer service skills • Proficiency with Microsoft Office applications, including Word and Excel • Strong written and verbal communication skills • Excellent organizational, analytical, and problem-solving abilities • Ability to manage multiple priorities while maintaining a high level of accuracy • Demonstrated ability to work collaboratively and effectively with multidisciplinary teams • Must be responsible, reliable, and able to independently carry out job functions