Verification of Benefits Specialist

Job overview

The Verification of Benefits Specialist role is onsite in Plano, TX. Compensation is not specified. The position supports patient therapy access by facilitating pre-certification, pre-determination, and authorization processes for procedures and therapies recommended by physicians. The specialist verifies benefits, coordinates authorization requests and appeals, and works with providers and insurance carriers to obtain required clinical information and approvals. The work helps patients and providers navigate authorization requirements within established timelines and privacy policies.

What you'll do

• Assist with appeals after initial coverage denials
• forward authorization confirmations to providers
• manage multiple cases within time frames
• follow data-use, storage, and privacy policies
• verify benefits and submit authorization requests
• follow up on authorizations
• audit clinical documents
• obtain authorization for facilities, equipment, and physicians
• coordinate with provider contacts and carrier utilization review departments
• train patients and providers on pre-authorization processes
• educate field territory managers and clinical specialists.

What we're looking for

Skills & competencies

verification of benefits specialist

patient therapy access

benefits verification

prior authorization

utilization review

appeals

clinical documentation

plano tx

mindlance

monday–friday

8:00 am–5:00 pm

Work arrangement

• Weekend coverage required

Why this role

100% onsite in Plano, Monday–Friday, 8:00 a.m.–5:00 p.m.; requires an associate degree in nursing/home health (LVN/LPN) or related field and at least two years of utilization or similar experience.

About the employer

Mindlance is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.