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

Insurance Authorization Coordinator

Our client is seeking an Insurance Authorization Coordinator to support a busy s...

Location

United States , North Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience with prior authorizations, precertifications, and insurance verification in a healthcare setting
Working knowledge of medical insurance processes, including claims, denials, and billing support
Ability to manage payer communication and documentation for procedure- or treatment-related services
Strong organizational skills with a high level of accuracy and attention to detail
Comfortable in a patient-facing administrative role within a fast-paced medical office
Strong communication skills and the ability to work effectively with patients, providers, insurance representatives, and office staff
Experience supporting specialty practice or procedure-based scheduling workflows is preferred

Job Responsibility

Obtain and track prior authorizations and precertifications for scheduled procedures and services
Verify insurance eligibility, benefits, and coverage details prior to appointments or procedures
Coordinate with internal staff to support scheduling activities and related insurance approval processes
Review payer responses, claim issues, or denials to identify items needing follow-up or additional documentation
Maintain accurate records of authorization status, payer communication, and patient account updates in office systems
Support patient check-in and check-out processes, including confirming registration and insurance information
Provide general administrative support to help maintain efficient daily office operations

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services

What we offer

paid time off
medical health insurance
dental
vision
life insurance
401(k) plan

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements.

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services.

What we offer

paid time off
medical health insurance
dental
vision
life insurance

Insurance Authorization Coordinator

We are looking for a detail-oriented and organized Insurance Authorization Coord...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1–3 years of experience in prior authorization, medical billing, insurance verification, or similar healthcare roles
Comprehensive knowledge of commercial insurance, Medicaid, Medicare, and payer-specific processes
Proficiency in healthcare systems such as Epic, Cerner, or Athena, along with experience using payer portals
Strong communication skills and exceptional customer service abilities
High level of attention to detail and excellent organizational skills
Ability to analyze clinical documentation and understand medical terminology
Experience with high-volume data entry and administrative tasks
Familiarity with insurance verification processes and scheduling operations

Job Responsibility

Review provider orders, clinical records, and insurance guidelines to assess prior authorization requirements
Monitor pending authorizations and follow up to secure timely approvals
Communicate effectively with providers, clinical staff, patients, and insurance representatives to provide updates or request additional documentation
Accurately record all actions, communication, and outcomes related to authorizations within internal systems
Confirm patient insurance coverage and validate benefit eligibility
Identify and report authorization issues or payer-specific trends to management
Assist with appeals and reconsideration processes for denied authorizations
Stay informed about payer regulations, medical necessity standards, and insurance protocols
Collaborate with billing and revenue cycle teams to ensure accurate authorization data is included with claims

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Authorization Coordinator

Review home infusion orders and the associated medical documentation to ensure a...

Location

United States , Chandler

Salary:

21.00 - 24.00 USD / Hour

Aspen Infusion

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED)
Minimum of 1 year of related experience in medical insurance authorization and/or training
Proficiency in basic math skills is required for this position
Computer skills required: Google software (Docs
Drive
Sheets)
Experience in home infusion pharmacy preferred, not required

Job Responsibility

Report any misconduct, suspicious, or unethical activities to the Compliance Officer
Verify insurance eligibility and benefits
Obtain referrals and complete required notifications and payor forms
Submit pharmacy and medical insurance pre-authorizations via fax, payer portal, or telephone
Process authorization requests for: New referrals, Order changes, Insurance updates, Ongoing long-term therapies
Coordinate with internal teams, providers, and external customers to obtain additional information for authorization requests
Track and follow up on all appeal and authorization submissions according to departmental policy and insurance payer requirements
Communicate approvals, denials, appeal options, and ongoing status to pharmacy staff, billing, healthcare team, customers, and supervisors
Review home infusion orders and medical documentation for accuracy
Handle incoming and outgoing calls related to the authorization/appeal process

Health Insurance Authorization Coordinator IV

Provides accurate financial clearance and patient financial account management r...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 3 years of related experience required
Associate's degree preferred
High degree of professionalism and motivation with excellent written and verbal communication and customer service skills required
Ability to work independently, as well as in a team environment required
Flexibility to be on call and work other assigned hours, weekends required
Extensive knowledge and comprehension of ICD-10 and CPT coding, medical terminology, and insurance standards and regulations preferred
Strong computer skills and ability to type 45 words per minute preferred
Position may be subject to membership and certification with the Transplant Financial Coordinators Association upon hire preferred

Job Responsibility

Provides accurate financial clearance and patient financial account management related to inpatient and outpatient services
Follows patients through their course of treatment to ensure payment for the service, as well as coverage for the necessary medications and/or post-operative equipment
Responsible for the analysis, validation and regulatory and compliance activities associated with the financial clearance process
Mitigates the financial risk to URMC by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor-specific benefits and patient liability
Creates a professional and effective customer-oriented environment by obtaining pertinent demographic information, explaining insurance benefits and limits, informing patients of the anticipated costs of services, patient liability, and patient responsibilities, explaining billing policies, and discussing financial options
Advises and guides patients on switching insurance carriers, when applicable, to ensure the best coverage for both patient and hospital/provider reimbursement
Assists patients and their family with insurance questions and resolution of billing issues
Performs crisis intervention when financial issues arise pre- and post-treatment
Obtains benefits and pre-certification along with all other billing requirements
Maintains updated knowledge of hospital contract for in and out-of-network payers

Fulltime

Benefits and Authorization Specialist

Authorization & Benefits Specialist | Contract | $28-$32/hr Full-Time, Onsite (M...

Location

United States , Eden Prairie

Salary:

28.00 - 32.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

2+ years of experience in benefits verification, prior authorization, or health insurance with direct payer interaction
Bachelor's degree required
Strong familiarity with payer portals and insurance benefit structures
High attention to detail and accuracy
Strong written and verbal communication skills, including payer phone interaction
Ability to manage multiple priorities in a fast-paced environment
Proficiency in Microsoft Office
Ability to work independently and on a team

Job Responsibility

Verify patient insurance benefits via payer portals and phone outreach
Conduct detailed benefit verification, including deductibles, out-of-pocket maximums, coverage limitations, and authorization requirements
Accurately document and communicate benefit details to support billing and patient cost estimates
Identify and escalate coverage gaps, coordination of benefits issues, or incomplete information
Assist with intake, review, and uploading of payer documentation into internal systems
Support prior authorization submissions and follow-ups with payers
Track pending authorizations to ensure timely resolution
Maintain accurate records for billing and audit purposes
Verify accuracy of authorization approvals and responses
Ensure HIPAA compliance and proper handling of patient information

Fulltime

Principal Architects, Systems

Principal Architects, Systems located in Bothell, WA will own solution design fo...

Location

United States , Bothell

Salary:

161138.00 - 217700.00 USD / Year

T-Mobile

Expiration Date

Until further notice

Requirements

Master’s degree in Applied Computer Science, Computer Application or related, or its foreign equivalent, and 5 years of relevant work experience
Bachelor’s degree in Applied Computer Science, Computer Applications or related, or its foreign equivalent, and 7 years of relevant work experience
At least 18 years of age
Legally authorized to work in the United States
Guiding and developing applications/microservices using technologies such as SpringBoot, AWS, Apigee, SQL, Python, Java Script, HTML, Docker, Kubernetes, Apache Kafka, Bitbucket, GitLab, Maven, Apache Tomcat, and Oracle/SQL Server
Designing the architecture of overall B2B and B2C applications, handling the team technically to deliver the solution using various technologies like JAVA/J2EE, Angular, SQL, IBM WCS, JMS, and other web technologies
Designing, developing, and debugging the complex and multi-tiered applications on the following operating systems: Windows, Unix, and Linux OS
Utilizing Web, SOAP, REST, and XML services to conduct Enterprise integration, and building eCommerce applications using store front and extended sites model of commerce
Designing and implementing various subsystems of IBM WCS such as Catalog Management Subsystem, Member Subsystem (User, Account, Organization), and Order Management
Customizing and implementing application caching system and IBM DynaCache, Apache Java caching system and Micro Services for B2B Stores on IBM WCS Platform for better performance of application

Job Responsibility

Work toward practical solutions considering all teams, initiatives, and long-term outlook by implementing decisions improving quality, efficiency to achieve revenue, profitability and strategic goals for the organization
Connect business strategies to technology domains for delivery, maximising well-defined structure of T-Mobile business processes, products and capabilities
Lead overall end-to-end solution design, ensure quality, consistency, and alignment of designs to TMUS standards and IT strategy
Lead large initiatives and apply IT standards to develop solution architecture, drive technical strategy and architectural tradeoff discussions
Demonstrate comprehensive understanding of how people, processes, and technology interact to perform the fundamental activities of the business in both current and future state and model these interactions to guide technology strategy to better achieve business outcomes
Works multi-functionally to understand the linkage between T-Mobile's business goals, business architecture, and requirements frameworks
Compile, deliver, and promote end-to-end technology roadmaps that guide the evolution of infrastructure, products, and services by applying depth and breadth of expertise in multiple related subject areas
Mentor team members on standard processes in area of expertise
Grasp and communicate big-picture enterprise-wide issues to team
Compile, develop, and deliver architectural guardrails

What we offer

Annual stock grant
Employee stock purchase plan
401(k)
Access to free, year-round money coaches
Medical, dental and vision insurance
Flexible spending account
Paid time off and up to 12 paid holidays
Paid parental and family leave
Family building benefits
Back-up care

Fulltime

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Authorization & Benefits Coordinator

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