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Authorization & Benefits Coordinator
Location: Eden Prairie, MN (Fully Onsite)
Schedule: Full-Time
Duration: Long-term contract (3-4+ months, with potential to extend)
Key Requirement (Must-Have Experience)
- 2+ years of experience in:
- Prior authorizations
- Benefits verification
- Health insurance or direct payer interaction
About the Role
Beacon Hill’s client in Eden Prairie, MN is seeking an Authorization & Benefits Coordinator to support their reimbursement operations team. This individual will play a critical role in verifying patient insurance benefits and supporting prior authorization processes.
This is a highly detail-oriented position requiring strong experience navigating insurance payer systems and frequent phone interaction. The ideal candidate is comfortable working independently in a fast-paced environment and has hands-on experience with prior authorizations and benefits verification.
Key Responsibilities
- Verify patient insurance benefits through payer portals and outbound phone calls
- Conduct detailed benefit investigations including:
- Deductibles
- Out-of-pocket maximums
- Coverage limitations
- Prior authorization requirements
- Accurately document and communicate benefit details to internal teams for billing and patient cost estimates
- Identify and escalate coverage gaps, coordination of benefits issues, or incomplete information impacting claims
- Support intake and review of patient documentation and order forms in accordance with internal and payer requirements
- Assist with prior authorization submissions and follow-up calls to insurance carriers
- Track, monitor, and follow up on pending authorizations to ensure timely resolution
- Maintain accurate records for billing, auditing, and compliance purposes
- Ensure confidentiality of patient information and adherence to HIPAA regulations
- Comply with Medicare and third-party payer guidelines
- Perform additional duties as needed
Required Qualifications
- Strong understanding of insurance benefit structures and payer processes
- Experience navigating payer portals and handling insurance verification calls
- High attention to detail with a strong focus on accuracy
- Excellent verbal and written communication skills
- Ability to manage multiple priorities in a high-volume environment
- Proficiency with Microsoft Office (Excel, Word, Outlook)
- Ability to work both independently and collaboratively
Preferred Qualifications
- Associate’s degree or higher
- Experience within durable medical equipment (DME) or specialty medical device reimbursement
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