Specialist, Benefits Eligibility and Authorizations
Schedule
Monday - Friday, 8:30 AM - 5:00 PM EST
Onsite in our Doral, Florida office.
Responsibilities
- Identifies and investigates claim denials and rejections related to insurance eligibility, benefits verification, and prior authorization requirements for Durable Medical Equipment (DME) services.
- Review and resolve claim denials and rejections related to eligibility, coverage, coordination of benefits, and authorization issues.
- Verify patient insurance coverage, benefits, and payer requirements.
- Obtain, update, and track prior authorizations and reauthorizations.
- Analyze denial trends and identify root causes to prevent future claim issues.
- Correct registration, insurance, and authorization errors within billing and practice management systems.
- Ensure compliance with payer policies, Medicare guidelines, and company procedures.
- Document all account activity accurately and maintain productivity and quality standards.
- Collaborate with intake, billing, and revenue cycle teams to improve front-end processes and reduce preventable denials.
Qualifications
- Bachelor's degree in related field, or equivalent work experience, preferred
- 3+ years experience in DME, healthcare revenue cycle management, insurance verification, or prior authorization preferred
- Knowledge of Medicare, Medicaid, and commercial payer requirements preferred
- Strong analytical, problem-solving, and communication skills
- Ability to interpret payer policies and explain coverage requirements
- Proficiency with EMR, billing systems, and denial management tools
What is expected of you and others at this level
Applies basic concepts, principles and technical capabilities to perform routine tasks
Works on projects of limited scope and complexity
Follows established procedures to resolve readily identifiable technical problems
Works under direct supervision and receives detailed instructions
Develops competence by performing structured work assignments
Anticipated hourly range
$20.02/hr. - $25.78/hr.
Bonus eligible: NO
Benefits
Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application
Application window anticipated to close: 08/14/2026
*if interested in opportunity, please submit application as soon as possible.
What is expected of you and others at this level
Applies basic concepts, principles and technical capabilities to perform routine tasks
Works on projects of limited scope and complexity
Follows established procedures to resolve readily identifiable technical problems
Works under direct supervision and receives detailed instructions
Develops competence by performing structured work assignments