Insurance Specialist – Prior Authorization

Meduit | Driving Revenue Cycle Performance

Insurance Specialist obtaining prior authorizations and verifying benefits for Meduit, a healthcare revenue cycle management company. Supporting patient access and accurate reimbursement through payer coordination and account documentation.

Posted 8/7/2026full-timeRemote • New York • 🇺🇸 United StatesJuniorMid-Level💰 $18 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient insurance eligibility verification, authorization processes, and healthcare revenue cycle management. Proficient in utilizing healthcare information systems and payer portals to ensure timely and accurate authorization activities.

Highest-signal resume keywords

Prior Authorization ExperienceInsurance Verification KnowledgeHealthcare Revenue Cycle ExpertiseProficiency with Microsoft OfficeExperience with Epic or Cerner

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance Eligibility VerificationAuthorization ProcessesMedical BillingPatient Access ManagementMedical Terminology Knowledge

Soft Skills

Communication SkillsProblem-Solving AbilitiesCollaboration Skills

Tools & Technologies

Payer PortalsHealthcare Software SystemsEpicCernerMeditech

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

MedicareMedicaidCommercial PayersWorkers' CompensationHealthcare Environment

About the role

Key responsibilities & impact

Verify patient insurance eligibility, benefits, and coverage requirements
Obtain prior authorizations and referrals from insurance carriers in accordance with payer requirements
Communicate with insurance companies, provider offices, and patients to collect information necessary for authorization approval
Research and resolve authorization-related issues that could impact patient access to services
Review accounts for medical necessity, payer requirements, and benefit limitations
Document authorization activity and maintain accurate account records
Update patient demographic, insurance, and payer information as needed
Monitor authorization status and ensure timely follow-up on pending requests
Utilize payer portals, eligibility tools, and healthcare software systems to support authorization activities
Maintain established productivity, quality, and accuracy standards
Collaborate with operational, billing, and clinical teams to support reimbursement and patient access goals

Requirements

What you’ll need

High School Diploma or GED
2+ years of prior authorization, insurance verification, medical billing, patient access, or healthcare revenue cycle experience
Experience with Medicare, Medicaid, and commercial payers
Experience with Workers' Compensation pre-access or authorization processes
Knowledge of insurance eligibility, authorization, and benefits verification processes
Proficiency with Microsoft Office (Outlook, Word, and Excel)
Experience working in a hospital, physician practice, or healthcare revenue cycle environment preferred
Experience using Epic, Cerner, Meditech, or other healthcare information systems preferred
Experience utilizing payer portals and authorization systems preferred
Knowledge of medical terminology and coding preferred
Previous remote healthcare experience preferred
Secure and private workspace within the home
Reliable wired high-speed internet connection
Minimum internet speeds of 30 Mbps download and 10 Mbps upload
Ability to maintain a professional and distraction-free work environment during scheduled working hours
Legally authorized to work in the United States at the time of hire
Must pass a pre-employment background check
Satisfactory references and any required documentation
Candidates residing in the state of New York cannot be considered
Employment visa sponsorship is not provided

Benefits

Comp & perks

Comprehensive Paid Training
Medical, Dental & Vision Insurance
HSA & FSA Available
401(k) with Company Match
Paid Wellness Time & Holidays
Employer-Paid Life Insurance & Long-Term Disability
Internal Growth Opportunities
Work-from-home arrangement
Secure and private home workspace
Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring decisions