New Patient Eligibility & Benefits Coordinator

Key Responsibilities:

• Manage prior authorization and precertification workflows for applicable visits, testing, procedures, and treatments, including identifying payer requirements and required documentation.
• Prepare and submit authorization requests through payer portals or other approved channels; coordinate with clinical teams to obtain supporting information and follow up with payers until a determination is received.
• Track pending requests, approvals, denials, expiration dates, authorized services, and visit limits; proactively pursue outstanding authorizations and escalate time-sensitive or complex cases.

Qualifications & Requirements:

• High school diploma or equivalent required; additional healthcare administration coursework or training preferred.
• At least 1 year of experience in medical prior authorizations, insurance verification, patient access, or healthcare revenue cycle preferred; hands-on authorization submission and payer follow-up experience strongly preferred.
• Working knowledge of prior authorization and precertification requirements, payer portals, referrals, commercial and government insurance plans, eligibility, and benefits terminology.

What We Offer:

• Competitive compensation and professional development opportunities.
• Full-time employees are eligible for medical, dental, and vision insurance, as well as a 401(k) retirement plan with employer matching.
• Paid time off, sick time, floating holidays, and holiday pay are also available to eligible full-time employees in accordance with company policy.