Benefits & Authorizations Specialist

About the Role:

The Benefits Specialist plays a key role in ensuring seamless operations regarding the authorizations
and eligibility of our customers’ clients. This person is responsible for handling eligibility verification,
authorization renewals, missing client or claims issues, conducting authorization research, and
participating in the customer onboarding process. This position will report to the Benefits Operations
Manage.

Core Responsibilities:

• Ensure 90% of requested authorizations are successfully renewed
• Identify and address missing clients and/or claims from reports within Paradigm’s billing
  management tool
• Enter authorization information into Paradigm’s system and the customer’s scheduling software to
  ensure an accurate and seamless billing process
• Demonstrate strong communication skills when responding to customer emails using the ticketing
  system
• Communicate with customers via email, phone, and video calls to ensure their satisfaction
• Research the authorization renewal process at VA Medical Centers to better understand their
  processes and improve Paradigm’s authorization renewal processes for handling VA
  authorizations
• Determine eligibility for our customers’ Medicaid clients to ensure their eligibility to receive service
• Conduct virtual weekly meetings with customers to facilitate the authorization management
  service onboarding process
• Work cross-functionally to ensure the execution of all responsibilities and support team members

Experience and Skills:

• Minimum 1 year of experience working in health care
• Minimum 1 year of customer service experience
• Strong problem-solving skills
• Excellent organizational skills and attention to detail
• Excellent follow-up, time management, and communications skills
• Proficiency in MS Office Suite (Outlook, Word, Excel) required