Benefits Verification and Auth Specialist - Full-Time (Evenings/Overnight Shift, Flexible Schedule) at Prompt EMR

Benefits Verification and Auth Specialist - Full-Time (Evenings/Overnight Shift, Flexible Schedule) at Prompt EMR | Remote Jobs

Full-Time (Evenings/Overnight Shift, Flexible Schedule) Company Overview: Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, their teams, and the patients they serve. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology. We’re tackling some of the healthcare industry’s most persistent problems with a team of exceptionally talented individuals passionate about creating a positive impact. At Prompt, we don’t just digitize healthcare—we transform it. From improving patient care to reducing environmental waste, our work supports better outcomes at scale. Why work for Prompt? BIG Challenges: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time. Talented People: Prompt didn’t happen by chance, it’s a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for rehab therapists. Healthy Approach: This isn’t an investment bank, we work long hours when it’s needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work). Positive Impact: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren’t enthralled with patting ourselves on the back everyday, but it does feel good :) The Role: The BVA Specialist – Evening/Overnight is responsible for providing after-hours benefit verification coverage for appointments scheduled or insurance information added late in the day for the following day. This role serves as an extension of the daytime BVA team, ensuring newly added next-day visits are identified and worked before clinics open. The BVA Specialist will verify patient insurance eligibility and benefits, identify authorization requirements, document findings accurately, and ensure any items that cannot be completed overnight are clearly handed off for follow-up. When next-day coverage is complete, this role will support additional BVA work and priorities as needed. This role is essential to ensuring a smooth revenue cycle, preventing avoidable claim denials, and minimizing the impact of late scheduling activity on our customers and their patients. Hours & Schedule Your weekly schedule will consist of: Sunday Nights (Fixed): 10:00 PM – 7:00 AM EST (includes a 1-hour lunch break) to provide critical support during our biweekly product releases. Monday – Thursday: Flexible 8-hour evening/overnight shifts (plus a 1-hour lunch) with customizable start/end times (e.g., 9:00 PM – 6:00 AM, or 8:00 PM – 5:00 AM EST) to fit your lifestyle. Fridays & Saturdays: Off Position Summary: The BV&A Specialist is responsible for verifying patient insurance eligibility and benefits, obtaining necessary authorizations, and communicating requirements to providers. This role is essential to ensuring a smooth revenue cycle, preventing claim denials, and enhancing the overall patient financial journey. Key Responsibilities: Monitor customer schedules for next-day appointments scheduled or insurance information added after standard daytime BVA coverage. Verify patient insurance coverage, eligibility, and benefits prior to next-day services. Determine patient responsibility for copays, deductibles, and coinsurance. Prioritize work based on appointment timing, ensuring the earliest next-day appointments are addressed first. Identify prior authorization requirements and complete appropriate next steps when possible. Clearly document and hand off authorization needs or other items requiring payer or clinic follow-up during normal business hours. Document benefit verification and authorization details accurately in the system. Identify missing information or other barriers preventing verification and clearly document required next steps. Provide a clear handoff to the daytime BVA team for outstanding items that cannot be completed overnight. Collaborate with BVA, scheduling, billing, and AR teams to ensure accurate workflows. Identify trends in late-added appointments, benefit issues, or authorization barriers and escalate as needed. Support denial prevention efforts by ensuring payer requirements are identified and addressed upfront. Support additional BVA work and operational priorities once next-day coverage is complete. Minimum Requirements 1–2 years of experience in benefit verification, medical insurance, or prior authorization. Strong knowledge of commercial and government payers, insurance policies, and healthcare terminology. Excellent attention to detail and organizational skills. Strong communication skills with ability to work across patients, providers, and payers. Familiarity with payer authorization portals and workflows. Knowledge of denial management and insurance appeal processes. Demonstrated ability to work independently, manage priorities, and make sound decisions with limited real-time supervision. High degree of reliability, integrity, and personal accountability, with a proven ability to be trusted with time-sensitive responsibilities and follow through on commitments. Perks
What you can expect: Competitive salaries Remote/hybrid environment Potential equity compensation for outstanding performance Flexible PTO Company-wide sponsored lunches Company paid disability and life insurance benefits Company paid family and medical leave Medical, dental, and vision insurance benefits Discounted pet insurance FSA/DCA and commuter benefits 401k Complimentary subscription to digital fitness classes and wellness content Recovery suite at HQ – includes a cold plunge, sauna, and shower Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer’s explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don’t hesitate to reach out to our People Department. Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees. Prompt Therapy Solutions, Inc is an E-Verify Employer.

Benefits Verification and Auth Specialist - Full-Time (Evenings/Overnight Shift, Flexible Schedule)

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Job Title: Benefits Verification and Auth Specialist

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