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Salary: USD 23 - 25 / hourly
Blackbird Health is a clinician-founded, clinician-operated pediatric mental health provider delivering virtual and in-person services across Pennsylvania, Virginia, New Jersey, and Maryland, with expansion planned for 2027. The company takes a whole-child approach, addressing how the brain, body, and behavior interact to treat root causes rather than symptoms.
As an Insurance Verification & Authorization Specialist (internally titled Insurance Operations Specialist), you will be the critical link helping children and families access mental health care by managing insurance verification, prior authorizations, and coverage navigation. You'll review incoming patient requests, verify insurance eligibility and behavioral health benefits, identify coverage barriers, and coordinate with insurance carriers and internal teams to ensure smooth patient experiences.
Key responsibilities include:
- Verifying insurance eligibility, coverage, and behavioral health benefits for new and existing patients
- Reviewing patient inquiries to confirm age, location, insurance participation, and service eligibility
- Identifying complexities within insurance plans, including third-party behavioral health administrators and payer-specific requirements
- Obtaining, submitting, and tracking prior authorizations and referrals
- Communicating with insurance carriers to resolve coverage discrepancies and explain patient financial responsibilities (copays, coinsurance, deductibles)
- Managing high-volume requests through ticketing and EHR systems while maintaining accurate documentation
- Collaborating with internal teams to resolve barriers to care
This is a full-time, hourly (non-exempt), benefits-eligible position with a Monday-Friday schedule during Eastern Time business hours. Eastern Time Zone residency is preferred.
Requirements:
- Experience in healthcare insurance verification, eligibility, benefits determination, prior authorizations, or referrals
- Strong understanding of insurance terminology (copays, coinsurance, deductibles, out-of-pocket costs)
- Exceptional attention to detail with ability to manage high-volume workflows and maintain accuracy
- Strong communication, organizational, and problem-solving skills when working with patients, insurance carriers, and internal teams
- Experience with behavioral health insurance benefits or specialty healthcare (strong plus)
- Familiarity with EHR systems (e.g., Athenahealth) and insurance portals (plus)
- Ability to maintain patient confidentiality and comply with HIPAA requirements
