Authorization and Verification Research Specialist

AUTHORIZATION AND VERIFICATION RESEARCH SPECIALIST Remote | Full time | 40 hours/week ABOUT THE ROLE We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate payor requirements across insurance 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 enable our team to support healthcare providers and help patients access the care they need. This role is ideal for someone who loves the investigative side of insurance work, stays current on payor policy changes, and wants to build expertise across a wide range of insurance plans. RESPONSIBILITIES - Research and document prior authorization and benefit verification requirements across diverse payors (commercial plans, state Medicaid programs, etc.) - Investigate payor-specific submission processes: required documents, portals, fax numbers, CPT code requirements, and policy updates - Stay informed on payor policy changes, especially those affecting authorization processes and benefit structures - Navigate payor websites, newslette...