Benefits Verification and Auth Specialist

Job description

Job Title: Benefits Verification and Auth Specialist Company Overview: Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, their teams, and the patients they serve. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology. We're tackling some of the healthcare industry’s most persistent problems with a team of exceptionally talented individuals passionate about creating a positive impact. At Prompt, we don’t just digitize healthcare—we transform it. From improving patient care to reducing environmental waste, our work supports better outcomes at scale. Why work for Prompt? - 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 :) Position Summary The BV&A Specialist is responsible for verifying patient insurance eligibility and benefits, obtaining necessary authorizations, and communicating requirements to providers. This role is essential to ensuring a smooth revenue cycle, preventing claim denials, and enhancing the overall patient financial journey. Key Responsibilities - Verify patient insurance coverage, eligibility, and benefits prior to services. - Determine patient responsibility for copays, deductibles, and coinsurance. - Obtain required prior authorizations from payers for services, procedures, or medications. - Document benefit verification and authorization details accurately in the system. - Collaborate with scheduling, billing, and AR teams to ensure accurate workflows. - Communicate clearly, providers, and payers regarding authorization status. - Monitor and track pending authorizations; follow up to prevent delays. - Identify trends in benefit issues or authorization delays and escalate as needed. - Support denial prevention efforts by ensuring all payer requirements are met upfront. Minimum 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. - Experience with RCM systems and EMRs - Familiarity with payer authorization portals and workflows. - Knowledge of denial management and insurance appeal processes. Perks - What you can expect: - Competitive salaries - Remote/hybrid environment - Potential equity compensation for outstanding performance - Flexible PTO - 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 - FSA/DCA and commuter benefits - 401k - 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. Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees. Prompt Therapy Solutions, Inc is an E-Verify Employer.