Authorization & Benefits Coordinator

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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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