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

Remote - ET (Eastern)+ Equity4w ago

Remote Junior NA Insurance Government Security Management Specialist Payroll Specialist

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.

Responsibilities

• 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 escalate 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.

Benefits

• BIG Challenges: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time. • Talented People: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for rehab therapists. • Healthy Approach: This isn't an investment bank, we work long hours when it's needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work). • Positive Impact: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :) • Competitive salaries • Remote/hybrid environment • Potential equity compensation for outstanding performance • Company-wide sponsored lunches • Company paid disability and life insurance benefits • Company paid family and medical leave • Medical, dental, and vision insurance benefits • Discounted pet insurance • Complimentary subscription to digital fitness classes and wellness content • Recovery suite at HQ – includes a cold plunge, sauna, and shower • Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reach out to our People Department.