Overview
We are seeking a detail-oriented and dependable Medical Insurance Verification & Authorization Specialist to join our team on a part-time basis. This in-office position is ideal for someone with experience in outpatient medical practices who enjoys working on the front end of the revenue cycle to ensure patients are accurately verified and authorized before receiving care.
The ideal candidate will have experience verifying insurance benefits, obtaining prior authorizations, submitting claims, requesting medical records, and communicating with insurance companies. This position also assists in overseeing insurance verification processes completed by front desk staff at our other clinic locations to ensure accuracy and consistency.
We are looking for someone who is organized, committed, reliable, and able to work independently while collaborating with our billing and front office teams. Physical therapy experience is preferred but not required.
Duties
- Verify insurance eligibility and benefits for new and returning patients
- Obtain and manage prior authorizations for physical therapy services
- Submit clean claims to insurance carriers
- Request and upload medical records as required by insurance companies
- Perform insurance eligibility checks through payer portals
- Utilize insurance websites and clearinghouses including Availity, Optum, ASHLink, Medicare portals, and other payer resources
- Monitor authorization requirements and expiration dates
- Communicate with insurance companies regarding benefits, authorizations, and claim requirements
- Assist in overseeing insurance verification completed by front desk staff at other clinic locations to ensure accuracy and consistency
- Maintain accurate documentation within the EMR
- Work closely with therapists, front office staff, and the billing department to ensure efficient patient processing
Experience
- Minimum of 2 years of medical insurance verification, authorization, or medical billing experience
- Strong understanding of insurance eligibility and prior authorization processes
- Experience working with Medicare, commercial insurance, Workers' Compensation, Auto/PIP, VA Community Care, Tricare, and other insurance carriers
- Excellent organizational skills and attention to detail
- Strong communication and customer service skills
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Physical therapy experience preferred but not required
- Experience with PromptEMR, Availity, Optum, ASHLink, and Medicare portals preferred
Pay: From $19.00 per hour
Work Location: In person
