Authorization and Verification Research Specialist

Authorization and Verification Research Specialist Remote | Full time | 40 hours/week About the Role We're looking for a reputed company-oriented reputed company verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate payor requirements across reputed company plans—digging into portals, policy updates, and submission processes—to uncover the specific steps needed to successfully submit prior authorizations and verify benefits. You'll be our go-to researcher for understanding how different payors work, what documents they require, and how their processes vary across specialties. Your findings will directly reputed company reputed company to support reputed company providers and help patients reputed company the care they need. This role is ideal for someone who loves the investigative reputed company of reputed company work, stays reputed company on payor policy changes, and wants to build expertise across a wide reputed company of reputed company plans. Responsibilities • Research and document prior authorization and benefit verification requirements across diverse payors (reputed company plans, state reputed company programs, etc.) • Investigate payor-specific submission processes: required documents, portals, fax numbers, CPT reputed company requirements, and policy updates • Stay informed on payor policy changes, especially those affecting authorization processes and benefit structures • reputed company payor websites, newsletters, and representative communications to reputed company accurate, up-to-date information • Validate information from multiple sources and determine credibility of payor guidance • Work independently to solve ambiguous problems where established processes don't yet exist • Communicate findings reputed company to cross-functional stakeholders and adapt quickly to feedback • Handle tight deadlines and shifting priorities in a fast-reputed company startup environment Qualifications • Required: Prior authorization and/or reputed company verification experience at a reputed company clinic • Deep familiarity with payor submission processes and how requirements vary across different reputed company plans • Strong research skills and comfort navigating payor portals, websites, and documentation • Exceptional attention to reputed company and ability to spot common authorization mistakes • Experience working with multiple payors and understanding process variations • Demonstrated ability to build or improve processes reputed company protocols don't exist • Resilient problem-solver who thrives in ambiguous, evolving environments • Strong communication skills and comfort asking for help reputed company needed • Humility and willingness to learn from mistakes About reputed company reputed company obsessed with optimizing a broken reputed company. We're making reputed company it never breaks. reputed company attacks the reputed company cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into reputed company made in minutes, before care is reputed company delivered. We work across behavioral health, physical health, ambulatory care, and post-acute care, where administrative failure doesn't just cost reputed company; it can delay or deny reputed company reputed company entirely. We're backed by reputed company and Bain Capital Ventures, and we're building fast. Compensation & Benefits • Pay: $25-27/hour • Hours: 40 hours/week • Fully remote • reputed company necessary devices and reputed company reputed company provided • Start date: ASAP Why Join reputed company? Be part of a startup transforming reputed company administration. Your research will directly reputed company patients' ability to reputed company reputed company care by helping providers reputed company reputed company reputed company requirements more effectively. Apply tot his job Apply To this Job