Job Overview – Insurance Verification & Authorization Specialist
Compensation: $18–$23/hour (Dependent on Experience)
Location: Burlington County, NJ
Schedule: Monday to Friday (Hybrid)
Atlantic Group is hiring an Insurance Verification & Authorization Specialist in Burlington County, NJ for our client, supporting insurance verification, prior authorizations, patient accounts, and reimbursement operations within a healthcare environment. This role will verify coverage and benefits, obtain authorizations, maintain accurate patient and insurance information, and communicate with patients, providers, and insurance carriers. The ideal candidate has 3+ years of healthcare customer service, insurance verification, authorization, or medical billing experience with strong knowledge of payer requirements and medical insurance processes.
Responsibilities as the Insurance Verification & Authorization Specialist:
- Insurance Verification: Verify insurance coverage, eligibility, benefits, and patient financial responsibility.
- Prior Authorizations: Initiate, submit, track, and obtain prior authorizations and referrals based on applicable requirements.
- Account Management: Maintain accurate patient, insurance, and account information while resolving coverage or documentation issues.
- Customer Support: Respond to patient, provider, and insurance inquiries regarding coverage, benefits, authorizations, and account information.
- Reimbursement Support: Support billing and reimbursement processes while identifying issues requiring additional research or escalation.
- Compliance & Documentation: Maintain accurate documentation while following applicable healthcare, privacy, and insurance requirements.
Qualifications for the Insurance Verification & Authorization Specialist:
- Education: High school diploma or equivalent is required, with a bachelor’s degree preferred.
- Experience: 3+ years of insurance verification, prior authorization, medical billing, healthcare customer service, or related experience is required.
- Industry Knowledge: Experience with healthcare insurance processes, claims, authorizations, and medical terminology is required.
- Technical Skills: Proficiency with Microsoft Office, electronic healthcare systems, and data entry is required.
- Skills & Attributes: Strong customer service, organization, communication, attention to detail, problem-solving, time management, and ability to manage a high-volume workload are required.
Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, Atlantic Group will keep your resume on file for future opportunities and may contact you for further discussion.