Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Tailor your resume to this Insurance Verification & Authorization Specialist role.
Rezi rewrites your resume against Aspire Allergy & Sinus's job description. Free.
Tailor your resume to this Insurance Verification & Authorization Specialist role.
Rezi rewrites your resume against Aspire Allergy & Sinus's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the Insurance Verification & Authorization Specialist posting at Aspire Allergy & Sinus — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the Insurance Verification & Authorization Specialist posting at Aspire Allergy & Sinus — free, in seconds.
About the Role
Aspire Allergy & Sinus is seeking an Insurance Verification & Authorization Specialist to ensure patients receive seamless care by verifying insurance eligibility, obtaining prior authorizations, and confirming patient clearance before services.
Responsibilities
- Verify patient insurance eligibility and benefits using payer portals and insurance carriers.
- Confirm coverage details including copays, deductibles, coinsurance, and service limitations.
- Review and correct patient demographic and insurance information within the practice management system.
- Ensure insurance verification is completed accurately and within required timelines prior to scheduled services.
- Obtain prior authorizations and referrals when required by payer guidelines for scheduled services, procedures, or testing.
- Ensure all required information for authorization requests is available, including CPT codes, diagnosis codes, and supporting documentation.
- Track authorization requests and follow up with payers to ensure approval prior to the date of service.
- Confirm scheduled services have valid authorization when required by payer and procedure.
- Calculate estimated patient responsibility based on verified benefits and payer guidelines.
- Communicate expected out-of-pocket costs to patients when appropriate prior to services.
- Refer uninsured or underinsured patients to the Billing team for assistance or payment arrangements.
- Collaborate with Scheduling, Front Desk, and Clinical Operations to ensure patients are properly cleared for scheduled services.
- Communicate authorization requirements, missing documentation, or insurance issues to appropriate staff.
- Assist internal teams with insurance-related questions that may impact scheduling or patient care.
- Document verification results, authorization details, and payer communications within the practice management system.
- Maintain accurate records of verification and authorization activity.
- Ensure proper tracking of authorization approvals and expiration dates.
Requirements
- High school diploma or equivalent required.
- Healthcare, hospital, or medical office experience.
- Familiarity with insurance verification, eligibility checks, or authorization workflows.
- Experience working with EHR or practice management systems (NextGen, Athena, Epic, or similar).
- 1+ years of insurance verification or authorization experience in a healthcare setting.
- Working knowledge of CPT and ICD-10 codes.
- Experience working with payer portals for eligibility and authorization requests.
Skills
- Knowledge of commercial, Medicare, and Medicaid insurance guidelines.
- Familiarity with payer portals and insurance carrier websites.
- Strong attention to detail and organizational skills.
- Excellent written and verbal communication skills.
- Ability to prioritize and manage multiple workflows and deadlines.
- Ability to work independently while collaborating with a team in a fast-paced environment.
Location
- Austin, TX
Work Type
- Permanent
- Full Time
- Onsite
Experience Level
- 1+ years of insurance verification or authorization experience in a healthcare setting
Education Level
- High school diploma or equivalent
Benefits
- Medical, Dental and Vision Insurance.
- Generous Paid Time Off and 10 Paid Holidays
- Free Allergy Testing and Discounted Treatments
- 401(k) + Generous Employer Match
- Employee rewards program!
About the Company
- Instagram - https://www.instagram.com/aspireallergy/
- LinkedIn - https://www.linkedin.com/company/aspire-allergy/mycompany/
- TikTok – https://www.tiktok.com/@aspireallergy
Equal Opportunity
- Aspire Allergy & Sinus is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.