Authorization & Benefits Coordinator Job at Beacon Hill (Eden Prairie)

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Access Benefits Specialist

Join Blue Ridge Care as an Access Benefits Specialist. At Blue Ridge Care, we de...

Location

United States , Winchester

Salary:

25.00 - 30.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

High school diploma or GED required
associate degree or higher preferred
Minimum of one year of healthcare administrative experience with a strong focus on insurance verification and benefits coordination
Strong knowledge of insurance processes including eligibility authorizations and coverage coordination
Experience working with insurance providers via phone fax and online portals
Familiarity with out-of-state payors preferred
Proficiency in Microsoft Office and EMR/EHR systems
Excellent organizational skills with strong attention to detail
Ability to manage multiple priorities in a fast-paced environment
Strong verbal and written communication skills

Job Responsibility

Serve as an initial point of contact for referrals patients families and referral sources as needed
Verify patient insurance coverage eligibility benefits and financial responsibility
Obtain preauthorizations and approvals for hospice services via phone fax and payer portals
Accurately enter and maintain patient demographics insurance information and documentation in the EMR/EHR
Schedule initial provider appointments and assessment nurse visits
Collect and review data to support eligibility for hospice and palliative care services
Communicate clearly with patients and families regarding insurance coverage and potential financial obligations
Resolve insurance-related discrepancies efficiently and ensure accurate benefit coordination
Maintain timely communication with physicians referral sources and internal interdisciplinary teams
Support referral processing intake workflows and medical record retrieval

What we offer

Health Dental & Vision Insurance
Retirement Plan with Company Match
Paid Time Off (PTO)
Paid Volunteer Time
Thrift Shop Discount
Voluntary Benefits including Critical Illness

Fulltime

Access Specialist

Join Blue Ridge Care as an Access Benefits Specialist. At Blue Ridge Care, we de...

Location

United States , Winchester

Salary:

25.00 - 30.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

High school diploma or GED required
associate degree or higher preferred
Minimum of one year of healthcare administrative experience, with a strong focus on insurance verification and benefits coordination
Strong knowledge of insurance processes, including eligibility, authorizations, and coverage coordination
Experience working with insurance providers via phone, fax, and online portals
Familiarity with out-of-state payors preferred
Proficiency in Microsoft Office and EMR/EHR systems
Excellent organizational skills with strong attention to detail
Ability to manage multiple priorities in a fast-paced environment
Strong verbal and written communication skills

Job Responsibility

Serve as an initial point of contact for referrals, patients, families, and referral sources as needed
Verify patient insurance coverage, eligibility, benefits, and financial responsibility
Obtain preauthorizations and approvals for hospice services via phone, fax, and payer portals
Accurately enter and maintain patient demographics, insurance information, and documentation in the EMR/EHR
Schedule initial provider appointments and assessment nurse visits
Collect and review data to support eligibility for hospice and palliative care services
Communicate clearly with patients and families regarding insurance coverage and potential financial obligations
Resolve insurance-related discrepancies efficiently and ensure accurate benefit coordination
Maintain timely communication with physicians, referral sources, and internal interdisciplinary teams
Support referral processing, intake workflows, and medical record retrieval

What we offer

Health, Dental & Vision Insurance
Retirement Plan with Company Match
Paid Time Off (PTO)
Paid Volunteer Time
Thrift Shop Discount
Voluntary Benefits including Critical Illness

Fulltime

Health insurance and authorization representative iii

Manages and provides financial account management for all urgent, emergent, and ...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of related experience, preferably in a hospital setting required
Associate's degree preferred
Or equivalent combination of education and experience
High degree of professionalism and motivation with excellent communication and customer service skills required
Strong ability to multi-task and prioritize required
Flexibility to work weekends, other assigned hours required
Familiarity with Medical terminology required
Strong computer skills and ability to type 45 words per minute preferred

Job Responsibility

Manages and provides financial account management for all urgent, emergent, and pre-admission visits with a Surgery Admit and Inpatient/Outpatient levels of care
Coordinates all activities necessary to financially secure the defined case load through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems, including but not limited to, authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Communicates, collaborates, and follows-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting
Minimizes any delays from admission until the final bill is produced and any payer denials associated with the above
Reviews each visit for insurance history by utilizing the hospital system along with all third-party payer systems
Obtains benefits, pre-certification requirements, and/or completes notification of admissions
Documents demographic and insurance information in a timely, accurate manner in the hospital computer system, following department and hospital standards
Identifies and confirms uninsured and underinsured patients for appropriate referral to Financial Case Management for possible Medicaid application and/or Financial Assistance
Notifies and monitors patients for completion of adding newborns onto policy

Fulltime

Senior HR Operations Professional

The Global HR Operations & Service Delivery team provides end-to-end HR services...

Location

India , Pune

Salary:

Not provided

Avaloq

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Human Resources, Business, Accounting or related field
At least 5–8 years of working experience in HR Operations, preferably in an international environment, with proven payroll expertise in India
Proven experience applying Indian labour law and HR compliance requirements across the full employee lifecycle (contracts, leave, terminations, policy updates)
Hands-on expertise in statutory payroll compliance, including mandatory social security, and related tax filings and audits
Experience with SAP SuccessFactors, plus good MS Office knowledge
Reliable, responsible, and detail-oriented personality with strong problem-solving skills
Ability to work independently, manage multiple priorities, and deliver under deadlines
Excellent communication skills, both oral and written

Job Responsibility

Manage HR administration across the full employee lifecycle, including onboarding, employment changes, compensation and benefits administration, leave management, and offboarding
Prepare and manage employee documentation (contracts, amendments, confirmation letters, termination letters) and maintain personnel files
Maintain accurate, compliant employee data in SAP HCM / SuccessFactors, ensuring integrity and confidentiality
Lead end-to-end payroll processing, ensuring accuracy and compliance with Indian statutory requirements
Ensure compliance with Indian labour law, payroll regulations, and internal HR policies
Serve as the first point of contact for employees, providing advisory and support through the HR ticketing system to ensure consistent and timely solutions
Manage relationships with external vendors (e.g., payroll and benefits providers) and coordinate with statutory authorities to ensure compliance and timely service delivery
Manage relationships with payroll providers, statutory authorities, and benefits vendors, ensuring accurate and compliant service delivery
Guide and support a junior team member on BAU tasks, fostering learning and effective execution
Lead process optimization efforts and support HR projects and initiatives that enhance efficiency and employee experience

What we offer

Annual bonus
Flexible working
Instant recognition
Access to Udemy for professional and personal learning

Fulltime

Medical Administrative Assistant

Our client is seeking a detail-oriented Medical Administrative Assistant with pr...

Location

United States , North Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in a medical administrative role, ideally supporting a surgical or specialty clinic
Demonstrated expertise in prior authorizations and pre-certifications for surgical procedures
Hands-on experience with insurance verification and benefits coordination
Strong scheduling, time management, and multitasking skills
Proficiency with medical practice management software and electronic health records (EHR)
Excellent communication, customer service, and organizational abilities
Familiarity with HIPAA compliance and patient confidentiality standards

Job Responsibility

Process and manage prior authorizations and pre-certifications for surgeries
Verify patient insurance coverage, benefits, and coordinate with payers to assure approvals for scheduled treatments
Schedule patient appointments, surgeries, and follow-ups, ensuring efficient workflow and accurate calendar management
Communicate effectively with patients, insurance companies, medical providers, and other clinic staff
Maintain detailed and accurate patient records in compliance with HIPAA and clinic policies
Prepare and submit documentation required for insurance claims and authorizations
Provide general administrative support including phone coverage, patient check-in/check-out, filing, faxing, and office correspondence
Assist with billing inquiries and act as a liaison between patients and the billing department to resolve issues promptly
Support neurosurgeons and clinical staff with logistics and necessary paperwork for pre- and post-surgical processes

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
Enrollment in company 401(k) plan

Fulltime

Prior Authorization Pharmacy Technician

The Patient Services Specialist I is responsible for initiating, researching, co...

Location

United States

Salary:

43700.00 - 62480.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

CPhT required
Florida Pharmacy Technician License preferred
2+ years of directly related or relevant experience
Broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education
Bachelor's degree program preferred

Job Responsibility

Initiate, research, complete, submit, and track Patient Services Program applications for assigned facilities
Conduct benefit verification and complete necessary third-party prior authorizations, reimbursement activities, patient assistance, and copay program enrollments
Coordinate refill calls, perform documented adherence activities, and coordinate dispensing for specialty medications, high-cost prescriptions, and/or infusion medications for both the pharmacy and medical benefit
Proactively interact with facility staff, patients, payers, and patient assistance programs (PAP)
May need to adjust work schedule to support customers in different time zones
May need to work on Cencora Holidays
Occasional travel may be required
Perform patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes
Provide services for a health system’s ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment
Interact with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations

What we offer

Medical
dental
vision care
comprehensive suite of benefits focusing on physical, emotional, financial, and social aspects of wellness
Support for working families which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
Training programs
Professional development resources
Opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Registration & Eligibility Specialist

UNM Hospital is the largest community mental health provider in the state of New...

Location

United States , Albuquerque

Salary:

16.59 - 22.95 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Not Applicable/Not Required

Job Responsibility

Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned
verify insurance coverage eligibility and benefits
verify required referrals and/or prior authorization are in place prior to visit
contact patients for outdated or missing demographics
professional and efficient phone call handling via telephone ACD system in a call center setting
perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs
perform intake applications for State of NM Medicaid
Ensure adherence to Hospitals and departmental policies and procedures
Assist patients in locating departments

What we offer

Full health/dental/vision with no deductible for full-time employees
Retirement with up to 6% match
PTO and 9 paid holidays
Amazing shift differentials including up to 26% for weekend nights
Sign-on bonuses and relocation assistance

Fulltime

Referral & Prior Auth Rep IV

Leads and executes referral coordination and prior authorization workflows for A...

Location

United States of America , Rochester

Salary:

21.23 - 28.66 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent required
3 years of relevant experience required
1 year of demonstrated leadership experience required
2–3 years in referral/prior authorization or care coordination, including neurology or another complex specialty preferred
or equivalent combination of education and experience
Medical terminology preferred
EMR proficiency (e.g., appointment and imaging order workflows)
Knowledge of payer prior authorization processes
Strong communication and customer service
Organizational and critical thinking skills

Job Responsibility

Leads and executes referral coordination and prior authorization workflows for Adult Neurology, ensuring accurate, timely, and compliant processing of referrals, testing, procedures, and specialty visits
Oversees workqueue distribution, provides day-to-day guidance and escalation support, and serves as liaison among patients, providers, clinical teams, and payers
Drives access, quality, and financial outcomes by applying neurology-specific knowledge, optimizing workflows, and training staff on standard work and system use
Referral & Prior Authorization Management: Prepare, submit, and track prior authorizations for neurology specialty visits, and outgoing referrals
verify benefits
document determinations and follow-ups in the EMR
Workqueue, Throughput & Team Leadership: Monitor and assign referrals across multiple neurology workqueues
balance workload, set priorities, and provide real-time guidance and escalation support
delegate tasks to meet turnaround targets
Neurology Referral Coordination & Scheduling: Validate medical necessity and ICD-10/CPT details

Fulltime

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Authorization & Benefits Coordinator

Job Description

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