What are the responsibilities and job description for the Health Benefits and Authorizations Specialist position at Korunda Medical, LLC?
Job Summary
We are seeking a dedicated and detail-oriented Health Benefits and Authorizations Specialist to join our medical billing team. This position requires strong attention to detail, excellent communication skills, and the ability to navigate insurance guidelines with accuracy and efficiency.
This role requires full-time, on-site attendance at our office. The standard schedule is Monday through Friday, 8:00 AM to 5:00 PM. This is NOT a remote or hybrid position.
Key Responsibilities
- Verify patient insurance coverage, eligibility, and benefits prior to appointments or procedures.
- Obtain prior authorizations and pre-certifications for office visits, imaging, procedures, surgeries, and medications as required by insurance plans.
- Communicate authorization status to patients, providers, and office staff.
- Review medical documentation to ensure appropriate CPT/ICD-10 codes are used for authorization requests.
- Submit and track authorization requests through payer portals, fax, and phone.
- Work closely with clinical and billing teams to resolve insurance issues or discrepancies.
- Request and follow up on referrals from primary care providers when needed.
- Document all insurance and authorization information accurately in the patient’s chart.
- Maintain up-to-date knowledge of insurance requirements, coverage policies, and authorization processes.
- Assist with appeals for denied authorizations when appropriate.
- Provide exceptional customer service to patients regarding coverage questions and out-of-pocket estimates.
- Perform other administrative duties as assigned.
Qualifications
- High school diploma or equivalent required; additional medical office or billing education preferred.
- Minimum 1–2 years of experience in medical insurance verification, authorizations, or billing in a healthcare setting.
- Strong understanding of commercial insurance, Medicare, HMO/PPO plans, and authorization workflows.
- Familiarity with medical terminology, CPT/ICD-10 coding, and EMR systems.
- Excellent communication, organizational, and multitasking skills.
- Ability to work independently and handle high-volume tasks with accuracy.
- Professional, courteous, and patient-focused attitude.
Job Type: Full-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
Work Location: In person
Salary : $19