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Authorization & Benefits Specialist
Contract | $28-$32/hr
Full-Time, Onsite (Monday-Friday, standard business hours) | Eden Prairie, MN
Must Have: 2+ years of experience in benefits verification, prior authorization, or health insurance with direct payer interaction
Overview:
Beacon Hill is partnering with a healthcare organization in the Twin Cities seeking an Authorization & Benefits Specialist to join their reimbursement operations team. This role plays a critical part in verifying patient insurance benefits and supporting prior authorization processes for medical devices. The ideal candidate brings strong payer experience and exceptional attention to detail.
About the Role:
- 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
- Stay up to date on payer and Medicare guidelines
Qualifications:
- Bachelor’s degree required
- 2+ years of experience in benefits verification, prior authorization, or health insurance with direct payer interaction
- 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
Preferred:
- Experience in durable medical equipment (DME) or specialty medical device reimbursement
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