What are the responsibilities and job description for the Insurance Verification & Prior Authorization Specialist position at TNT Healthcare Billing Solutions?
TNT Healthcare Billing Solutions is a growing healthcare revenue cycle services company providing comprehensive full revenue cycle management and administrative support to independent medical practices across Minnesota and beyond. Our services span the entire revenue cycle — including insurance verification, prior authorizations, medical billing, claims management, denial resolution, payment posting, and compliance workflows — allowing providers to focus on delivering quality patient care while we manage the operational and financial processes.
We support multiple specialties and healthcare organizations, offering a collaborative and fast-paced environment with opportunities to learn and grow within the healthcare revenue cycle field.
📋 Position Overview
The Insurance Verification & Prior Authorization Specialist will play a critical role in ensuring accurate patient insurance coverage, timely authorization approvals, and administrative support across multiple medical practices we serve. This position requires strong organizational skills, the ability to navigate multiple healthcare systems, and effective communication with insurance companies, providers, and internal teams.
This role also includes cross-training in medical billing and related revenue cycle processes.
✅ Key Responsibilities
• Perform insurance verifications for patients across multiple medical practices
• Confirm eligibility, benefits, coverage limits, deductibles, and authorization requirements
• Submit prior authorization requests to insurance companies and payors
• Track and follow up on pending authorizations to ensure timely approvals
• Communicate authorization statuses with providers and scheduling teams
• Work within multiple EMR, billing, and insurance portal systems
• Maintain accurate documentation and tracking logs
• Assist with general administrative tasks as needed
• Cross-train in medical billing, claims processing, and denial management
🎯 Qualifications & Skills
• Experience with insurance verification, prior authorizations, or medical office administration preferred
• Knowledge of medical insurance (Medicare, Medicaid/PMAP, commercial plans) is a plus
• Ability to work efficiently across multiple systems and software platforms
• Strong attention to detail and organizational skills
• Excellent communication skills (phone, email, and written)
• Ability to prioritize tasks and manage deadlines
• Willingness to learn medical billing and revenue cycle workflows
• HIPAA compliance awareness