Prior Authorization and Benefits Verification Specialist

Infinx

. Support the Patient Access Onshore department with insurance verification and prior authorization functions .

Posted 11/12/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes, including insurance verification, eligibility checks, and managing authorization requests. Proficient in medical terminology and familiar with CPT/ICD-10 codes and payer portals to facilitate patient access to healthcare.

Highest-signal resume keywords

Prior Authorization ManagementInsurance Eligibility VerificationMedical Terminology ProficiencyAttention to DetailCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationInsurance VerificationCPT CodesICD-10 CodesAuthorization RequestsBenefit VerificationDocumentation MaintenanceDenial ResolutionAppeals SupportPayer Portal Navigation

Soft Skills

Attention to DetailOrganization SkillsFollow-Up SkillsCommunication Skills

Tools & Technologies

Electronic Health Record SystemsPayer Portals

Industry Keywords

Patient AccessHealthcareRadiology ServicesLaboratory Services

About the role

Key responsibilities & impact

Support the Patient Access Onshore department with insurance verification and prior authorization functions
Contact payers for eligibility, benefit information, and authorization requirements
Obtain prior authorizations and pre-certifications
Submit complete and accurate authorization requests
Follow up on and resolve pending authorization requests
Maintain documentation of authorization activity
Stay current on payer prior authorization requirements
Facilitate timely patient access to healthcare by managing prior authorization processes

Requirements

What you’ll need

High School Diploma or equivalent
2+ years of experience in prior authorization and insurance eligibility/benefits verification
Experience verifying coverage, deductibles, copays, coinsurance, and authorization requirements
Ability to submit and track authorization requests, follow up with payers, and coordinate supporting documentation with provider offices
Familiarity with medical terminology, CPT/ICD-10 codes, payer portals, and electronic health record systems
Strong attention to detail, communication, organization, and follow-up skills
Ability to manage multiple requests, meet turnaround times, and maintain patient confidentiality
Experience with radiology/imaging and laboratory services preferred
Experience resolving authorization denials and supporting appeals preferred