RCM Assistant — Insurance Benefits, Eligibility & Prior Authorization Full-Time On-Site Reports to Director of Revenue Cycle Management About the Practice Vein Institute of South Mississippi is a specialty varicose vein clinic focused exclusively on the evaluation and treatment of varicose veins of the legs. We have three locations and two providers. The Revenue Cycle team handles consistent insurance verification work with a defined, manageable prior authorization caseload. Position Summary The RCM Assistant is responsible for complete insurance benefits and eligibility verification and for submitting and tracking prior authorizations for scheduled vein procedures. This role is the first line of financial clearance before the patient is seen or treated. Accuracy, follow-through, and clear documentation in the EHR are essential. Assistant will work directly with the Director of RCM. Compensation/Benefits $23-$25/hourly range- based on experience, education, certifications, etc.

Benefits:

health, dental, and vision insurance, 401k matching, PTO, Paid holidays Primary Responsibilities Verify insurance eligibility and benefits for every scheduled patient prior to the visit, including coverage status, plan type, deductible, copay, coinsurance, out-of-pocket maximum, and remaining balances. Confirm medical versus cosmetic coverage and any plan exclusions related to varicose vein treatment of the legs. Check benefits against the typical procedure set for this specialty (generally five CPT codes per patient), including evaluation and management, diagnostic duplex ultrasound, endovenous ablation, phlebectomy, and sclerotherapy as applicable. Document verification results clearly in the EHR (CureMD) so front desk, clinical, and billing staff can act on the same information. Identify when prior authorization is required and prepare complete submissions (clinical notes, duplex findings, photographs when required, conservative therapy documentation, and medical necessity support). Submit prior authorizations by payer-preferred method (portal, fax, or phone) and track status through approval, pending, or denial. Manage a defined prior authorization volume of up to approximately 20 authorizations per month and escalate delays or denials to the Director of RCM promptly. Communicate benefit limitations, estimated patient responsibility, and authorization status to the appropriate internal team members so patients can be informed before service. Follow up on incomplete, pending, or expired authorizations and maintain an organized worklist so no scheduled procedure is missed. Stay current on payer-specific varicose vein policies (medical necessity criteria, vein laterality/staging rules, and documentation requirements). Support related RCM tasks as assigned, including eligibility re-checks after insurance changes and assistance with denial information related to authorization or benefits. Workload Context Three locations and two providers, Monday through Friday. Benefits and eligibility verification is the core daily workload, typically covering about five CPT codes per patient. Prior authorization volume is capped at a maximum of approximately 20 submissions per month. Work is specialty-focused (varicose veins of the legs only), which allows the assistant to become highly proficient in a defined set of payers, codes, and medical-necessity rules. Required Qualifications 2 + years of experience in medical insurance verification, benefits investigation, and/or prior authorization in an outpatient or specialty setting. Working knowledge of commercial, Medicare, and Medicaid/managed care eligibility and authorization processes. Ability to read and apply payer medical policies and to match clinical documentation to authorization criteria. Strong attention to detail, organization, and follow-through; comfortable managing a daily worklist under time-sensitive scheduling deadlines. Clear written and verbal communication with internal staff and, when needed, payer representatives. Proficiency with EHR systems and payer portals. Experience with CureMD is a plus. High school diploma or equivalent required; additional healthcare billing/coding coursework preferred. Preferred Qualifications Experience in vascular, vein, or other procedure-based specialty practices. Familiarity with common vein-related CPT codes (e.g., 99202-99215, 93970/93971, 36478/36479, 37765, 36470/36471) and related ICD-10 diagnosis coding. Knowledge of Mississippi commercial payers and Medicare Advantage plans commonly seen in the Hattiesburg market. What Success Looks Like Every scheduled patient has complete, documented benefits and eligibility information before the visit. Authorization is obtained (or a clear denial/alternative path is documented) before the procedure date whenever required. Worklists are current; nothing sits unworked past the same-day or next-business-day standard set by RCM leadership. Front desk and clinical teams can rely on the verification notes without having to re-check the same plan. How to Apply Interested candidates should submit a resume and a brief cover note describing insurance verification and prior authorization experience to the Human Resources at al@veinsms.com. Please include the names of EHR systems and payer portals used. Vein Institute of South Mississippi is an equal opportunity employer.

Pay:

$23.00 - $25.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance Application Question(s): How many years of hands-on experience do you have verifying insurance eligibility and benefits in an outpatient or specialty medical practice? Do you have experience submitting and tracking prior authorizations (portals, fax, and/or phone) for scheduled procedures? Have you verified benefits against specific CPT codes (not just "active/inactive coverage")? Do you have experience in a procedure-based specialty (vein/vascular, cardiology, surgery, GI, pain, ortho, or similar)?

Work Location:

In person