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Insurance Verification and Authorization Specialist
Blackbird Health. Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare insurance verification, eligibility determination, and prior authorizations while maintaining compliance with HIPAA requirements. Strong ability to manage high-volume workflows and communicate effectively with insurance carriers to resolve discrepancies.
Highest-signal resume keywords
Healthcare Insurance VerificationPrior AuthorizationsInsurance TerminologyEHR SystemsBehavioral Health Insurance Benefits
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Eligibility VerificationBenefits DeterminationPrior AuthorizationsReferralsCoverage Discrepancy Investigation
Soft Skills
Attention to DetailOrganizational SkillsProblem-Solving SkillsCommunication Skills
Tools & Technologies
EHR SystemsAthenahealthInsurance Portals
Certifications & Qualifications
HIPAA Compliance
Industry Keywords
CopaysCoinsuranceDeductiblesOut-of-Pocket CostsPediatric Mental Health Care
About the role
Key responsibilities & impact- Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients
- Review incoming patient inquiries to confirm age, location, insurance participation, and service eligibility
- Identify complexities within insurance plans, including third-party behavioral health administrators and payer-specific coverage requirements
- Obtain, submit, and track prior authorizations and referrals
- Communicate with insurance carriers to resolve coverage discrepancies and explain patient financial responsibilities, including copays, coinsurance, and deductibles
- Manage high-volume requests through internal ticketing and EHR systems
- Maintain accurate documentation and collaborate with internal teams to resolve barriers to care
- Help children and families access pediatric mental health care
Requirements
What you’ll need- Experience in healthcare insurance verification, eligibility, benefits determination, prior authorizations, or referrals
- Strong understanding of insurance terminology, including copays, coinsurance, deductibles, and out-of-pocket costs
- Exceptional attention to detail and ability to manage high-volume workflows, investigate coverage discrepancies, and maintain accuracy
- Strong communication, organizational, and problem-solving skills
- Experience with behavioral health insurance benefits, prior authorizations, or specialty healthcare is a strong plus
- Familiarity with EHR systems such as Athenahealth and insurance portals is a plus
- Ability to maintain patient confidentiality and comply with HIPAA requirements
- Ability to work Monday-Friday during Eastern Time business hours
- Eastern Time Zone preferred
Benefits
Comp & perks- Benefits eligible
- Full-time employment
- Hourly (non-exempt) compensation
- Fully remote work arrangement