Electromed, Inc. · 23 hours ago
Authorization & Benefits Specialist
United States
Full-time
Remote
Mid LevelElectromed, Inc. is dedicated to developing innovative airway clearance devices that improve respiratory health. The Authorization & Benefits Specialist is responsible for managing patient authorizations and liaising between patients, providers, and insurance companies to ensure uninterrupted therapy and timely billing.
Health CareMachinery ManufacturingManufacturing
Responsibilities
Follow Electromed mission and core values, while striving to achieve company goals
Understand and adhere to local State and Federal healthcare regulatory and compliance rules
Review documentation for updated patient demographics, insurance information, prescription requirements, and medical records per payer guidelines
Verify insurance eligibility and DME benefits
Comprehensively navigate payer websites
Competently communicate with payers, clinics, PCP’s
Effectively submit insurance requests to obtain authorization(s) and referrals
Communicate effectively with Reimbursement Team, such as Patient Account Liaisons and Patient Services
Educate patients on complex reimbursement situations
Accurately record information to internal Patient Database
Complete other miscellaneous tasks as needed to help support the reimbursement team
Handle denied recertifications in a timely manner by obtaining needed documentation and forwarding to the Appeals Team
Qualification
Required
High School diploma or GED required; degree preferred
Experience working with insurance companies in the capacity of benefits, coverage, and authorizations
Experience working directly with third party or government payers
Experience with medical terminology
Knowledgeable of insurance requirements and can determine medical justification to ensure proper reimbursement
Knowledge of Microsoft Office suite
High attention to detail and accuracy with the ability to handle multiple priorities
Self-starter, motivated, team-player
Excellent written and verbal communication skills
Demonstrated exceptional customer service skills
Ability to prioritize and organize
Strong analytical and problem-solving skills
Active participant of continuous improvement
Benefits
6 weeks’ time off annually
Employee bonus plan
Flexible hybrid/remote work options
Full pay maternity, paternity, parental, short-term disability leaves
Employee driven recognition program
Access to hundreds of training opportunities
Company paid educational assistance
Well-being on demand
Perks at Work
Competitive health and welfare plans -HSA company contribution
401(k) company match
Great culture and people!
Company
Electromed, Inc.
Electromed, Inc.
Founded in 1992
51-200 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2010-08-13IPO
Leadership Team
Jim Cunniff
President & Chief Executive Officer, Director
Brad Nagel
Chief Financial Officer
Recent News
2025-08-27
Business Wire
2025-08-27
2025-08-13
Company data provided by crunchbase