Contact insurance companies regularly to check claim status and ensure timely resolution
Review and resolve denied, rejected, or unpaid claims
Document all claim activity, follow-ups, and outcomes accurately in the EMR
Maintain ownership of claims from submission through final resolution
Obtain prior authorizations for services and treatments
Verify insurance benefits and coverage details
Communicate authorization requirements clearly to internal teams
Ensure all insurance documentation is complete and up to date
Work closely with billing and internal operations teams to maintain efficient workflows
Escalate issues appropriately while continuing follow-ups
Ensure compliance with documentation and billing standards
Contribute to continuous improvements in billing and authorization processes

2+ years of experience in medical billing, insurance verification, or authorization roles
Strong hands-on experience working directly with insurance companies
Proven ability to manage claim follow-ups, benefit verification, and prior authorizations independently
High level of accountability with strong follow-through on open claims
Clear, confident, and professional written and verbal communication skills
Strong attention to detail and documentation accuracy
Reliable internet connection and comfort working in a fully remote environment

Competitive salary commensurate with experience
Opportunities for professional development and growth
Work in a dynamic and supportive team environment
Make a meaningful impact by helping to build and strengthen families and communities

Billing & Insurance Authorization Specialist

Key skills