Benefits Verification and Auth Specialist, Full-Time, Evenings/Overnight Shift, Flexible Schedule

• Monitor customer schedules for next-day appointments scheduled or insurance information added after standard daytime BVA coverage
• Verify patient insurance coverage, eligibility, and benefits prior to next-day services
• Determine patient responsibility for copays, deductibles, and coinsurance
• Prioritize work based on appointment timing, ensuring the earliest next-day appointments are addressed first
• Identify prior authorization requirements and complete appropriate next steps when possible
• Clearly document and hand off authorization needs or other items requiring payer or clinic follow-up during normal business hours
• Document benefit verification and authorization details accurately in the system
• Identify missing information or other barriers preventing verification and clearly document required next steps
• Provide a clear handoff to the daytime BVA team for outstanding items that cannot be completed overnight
• Collaborate with BVA, scheduling, billing, and AR teams to ensure accurate workflows
• Identify trends in late-added appointments, benefit issues, or authorization barriers and elevate as needed
• Support denial prevention efforts by ensuring payer requirements are identified and addressed upfront
• Support additional BVA work and operational priorities once next-day coverage is complete

Requirements

• 1–2 years of experience in benefit verification, medical insurance, or prior authorization
• Strong knowledge of commercial and government payers, insurance policies, and healthcare terminology
• Excellent attention to detail and organizational skills
• Strong communication skills with ability to work across patients, providers, and payers
• Familiarity with payer authorization portals and workflows
• Knowledge of denial management and insurance appeal processes
• Demonstrated ability to work independently, manage priorities, and make sound decisions with limited real-time supervision
• High degree of reliability, integrity, and personal accountability, with a proven ability to be trusted with time-sensitive responsibilities and follow through on commitments
• Legally authorized to work in the US
• Located in the US
• Able and willing to consistently work an evening/overnight schedule Sunday through Thursday, including a fixed Sunday shift from 10:00 PM–7:00 AM EST

Core Competencies

Demonstrates expertise in benefit verification and prior authorization processes, with strong knowledge of commercial and government payers. Exhibits excellent attention to detail, organizational skills, and effective communication across patients, providers, and payers.

Highest-signal resume keywords

• Benefit Verification
• Prior Authorization
• Insurance Policies
• Denial Management
• Payer Authorization Portals

ATS Optimization Keywords

Hard Skills

• Benefit Verification
• Prior Authorization
• Insurance Eligibility Verification
• Denial Management
• Insurance Appeal Processes

Soft Skills

• Attention to Detail
• Organizational Skills
• Communication Skills
• Decision-Making
• Reliability

Industry Keywords

• Healthcare Terminology
• Commercial Payers
• Government Payers
• Patient Responsibility
• Appointment Scheduling

Tools & Technologies

• Payer Authorization Portals