Top 19 Authorization specialist Jobs in Youngstown, Oh

Medical Insurance Verification/Authorization Specialist
Action Physical Therapy & Rehabilitation, Inc. —Hubbard, OH
- Part-time
- Microsoft Excel
- Medical office experience
- Physical & Rehabilitation Medicine
Quick Apply
Referral and Insurance Specialist - Howland Primary Care
Mercy Health —Warren, OH
- Primary Care
- High school diploma or GED
- Children
- Health savings account
- Disability insurance
2d
Pre-Certification Specialist
Southwoods Health —Boardman, OH
- Online Application
- Medical office experience
- Mid-level
- Office
Quick Apply
Front Office Specialist / Receptionist
Southwoods Health —Boardman, OH
- Full-time
- Computer literacy
- Clinic
- Organizational skills
Quick Apply
2d
Medical Assistant (Meridian)
Meridian Healthcare —Youngstown, OH
- Full-time
- CPR Certification
- Vital signs
- Medical office experience
- Paid holidays
- Health insurance
Quick Apply
Associate Specialist, Patient Access
Ensemble RCM LLC —Youngstown, OH
- $18.65 - $19.90 an hour
- Part-time
- Management
- Hospital
- Customer service
- Tuition reimbursement
18h
Administrative Specialist 2 - Electrical Engineering
Youngstown State University —Youngstown, OH
- $18.50 an hour
- Monday to Friday
- Writing skills
- English
- Research
- Health savings account
- Paid holidays
Primary Care Referral Specialist - Medical Asst
Salem Regional Medical Center —Columbiana, OH
- Full-time
- Word processing
- Computer literacy
- BLS Certification
- 403(b) matching
- Health insurance
Customer Care Specialist
On Demand / New Day Recovery LLC —Newton Falls, OH
- Part-time
- Background check
- 18 years or older
- Inventory management
Quick Apply
6d
Billing and Insurance Specialist/ Front Office
Complete Physical Therapy & Aquatics LLC —Hubbard, OH
- $16 - $22 an hour
- Part-time
- Administrative experience
- Organizational skills
- In-person
Quick Apply
1d
Administrative Specialist 2 - Admissions
Youngstown State University —Youngstown, OH
- $18.50 an hour
- Monday to Friday
- Writing skills
- English
- Research
- Health savings account
- Paid holidays
13d
Administrative Specialist 2 - Experiential Learning & Engagement
Youngstown State University —Youngstown, OH
- $18.50 an hour
- Monday to Friday
- Inventory management
- Writing skills
- Basic math
- Health savings account
- Paid holidays
13d

More jobs to discover

Find similar jobs that you might be interested in.

Referral and Insurance Specialist - Howland Primary Care
Mercy Health —Warren, OH
Answers the telephone, take messages, schedule appointments and greet patients as needed. 2-3 years of experience in a related medical field with experience in…
2d
Registered Polysomnography Tech - Howland Sleep Center
Mercy Health —Warren, OH
Polysomnography State Licensure if applicable based upon state of practice (preferred; required if practicing in Virginia). Competitive paid time off accrual.

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
21h

Show more jobs in cities nearby

I want to receive the latest job alert for authorization specialist in youngstown, oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization specialist jobs near youngstown, oh

Electrical Engineer jobs in Youngstown, OH

Medical Assistant jobs in Youngstown, OH

Front Desk Receptionist jobs in Boardman, OH

Electrical Engineer jobs in Waukesha, WI

Electrical Engineer jobs in Scranton, PA

Electrical Apprentice jobs in Yonkers, NY

Electrical Engineer jobs in Palm Bay, FL

Electrical Engineer jobs in Colorado Springs, CO

Entry Level Electrical jobs in New Jersey

Nuclear Engineer jobs in Washington, DC

Entry Level Electrical jobs in Portland, OR

Insurance Verification Specialist jobs in Colorado Springs, CO

Insurance Verification Specialist jobs in Katy, TX

Revenue Cycle Specialist jobs in California

Insurance Verification Specialist jobs in Carmel, IN

Insurance Verification Specialist jobs in Los Angeles, CA

Resident Assistant jobs in New York, NY

Medical Assistant jobs in Jersey City, NJ

Medical Equipment Delivery jobs in Mcallen, TX

Medical Assistant jobs in New Mexico

Medical Insurance Verification/Authorization Specialist

Action Physical Therapy & Rehabilitation, Inc.
Hubbard, OH

Quick Apply

Job Details

Part-time

Qualifications

Customer communication
Teamwork
Microsoft Excel
HIPAA compliance
Medicare
Electronic health records (EHR) management
HIPAA
Administrative experience
Medical administrative support
ICD-10
Organizational skills
Patient interaction
Productivity software
Clinical confidentiality policies
Medical terminology

Full Job Description

Medical Insurance Verification and Authorization Specialist

Overview

Action Physical Therapy & Rehabilitation, Inc. is seeking a dependable and detail-oriented Medical Insurance Verification and Authorization Specialist to join our outpatient physical therapy team.

This position plays an important role in helping patients begin and continue therapy without unnecessary delays. The specialist will verify insurance benefits, obtain prior authorizations, monitor visit limits, respond to insurance documentation requests, and assist with selected accounts receivable aging follow-up.

The ideal candidate has experience working with health insurance companies, understands outpatient therapy benefits, and can communicate effectively with patients, therapists, physician offices, and insurance representatives.

Duties and Responsibilities

Verify patient insurance eligibility and outpatient physical therapy benefits using insurance portals, electronic health record systems, and direct communication with insurance companies.
Confirm deductibles, copayments, coinsurance, visit limits, referral requirements, authorization requirements, and other plan-specific restrictions.
Obtain and track prior authorizations for physical therapy evaluations and treatment visits.
Monitor authorization expiration dates, approved visit counts, and remaining visits to prevent interruptions in patient care.
Request additional visits or authorization extensions when medically necessary.
Review physical therapy evaluations, progress notes, plans of care, physician referrals, CPT codes, diagnosis codes, and other clinical information needed to support authorization requests.
Communicate documentation requirements and authorization updates to therapists, front-office staff, billing personnel, and clinic supervisors.
Respond to insurance company requests for medical records, evaluations, progress reports, plans of care, physician certifications, and other supporting documentation.
Follow up with therapists and clinic staff when documentation is incomplete or additional information is needed.
Submit requested documentation through insurance portals, fax, mail, or other approved methods while maintaining accurate records of all submissions.
Follow up on pending, delayed, or denied authorization requests and assist with reconsiderations or appeals when appropriate.
Communicate insurance coverage information and patient financial responsibilities clearly and professionally to patients.
Assist with reviewing accounts receivable aging reports and following up on selected unpaid, delayed, or denied insurance claims.
Contact insurance companies to determine claim status, identify missing information, and help resolve authorization-related or documentation-related payment issues.
Document insurance verification, authorization activity, claim follow-up, and correspondence accurately in the appropriate system.
Maintain patient confidentiality and comply with HIPAA requirements and company policies.
Stay informed of changes involving insurance requirements, managed care policies, Medicare rules, therapy visit limits, and authorization procedures.
Perform other administrative, billing, or insurance-related duties as assigned.

Requirements

Previous experience in a medical office, outpatient therapy clinic, billing department, or healthcare administrative position is preferred.
Experience with insurance verification, prior authorization, medical billing, accounts receivable, or claim follow-up is strongly preferred.
Familiarity with outpatient physical therapy benefits, therapy visit limits, referrals, plans of care, and authorization requirements is preferred.
Basic understanding of CPT codes, ICD-10 diagnosis codes, medical terminology, and healthcare documentation.
Experience working with electronic health record systems, payer websites, and insurance portals.
Proficiency with Microsoft Word, Excel, email, and general office technology.
Strong organizational skills and attention to detail.
Ability to manage multiple authorizations, documentation requests, and follow-up tasks at the same time.
Excellent written and verbal communication skills.
Ability to communicate professionally with patients, therapists, physician offices, insurance companies, and coworkers.
Understanding of HIPAA requirements and the importance of maintaining patient confidentiality.
Ability to work independently while contributing to a collaborative, patient-focused team.

Preferred Qualifications

Experience in an outpatient physical therapy or rehabilitation setting.
Experience obtaining authorizations for physical therapy, occupational therapy, or other rehabilitation services.
Experience reviewing accounts receivable aging reports and following up on unpaid or denied claims.
Familiarity with Medicare, Medicaid, commercial insurance, workers’ compensation, and managed care plans.

Join Action Physical Therapy & Rehabilitation, Inc. and help ensure our patients receive timely access to the therapy services they need. This position is essential to supporting patient care, maintaining accurate insurance information, and improving the efficiency of our authorization and reimbursement processes.

Work Location: In person

Quick Apply

Refine Your Search

authorization specialist jobs in youngstown, oh

Medical Insurance Verification/Authorization Specialist

Referral and Insurance Specialist - Howland Primary Care

Pre-Certification Specialist

Front Office Specialist / Receptionist

Medical Assistant (Meridian)

Associate Specialist, Patient Access

Administrative Specialist 2 - Electrical Engineering

Primary Care Referral Specialist - Medical Asst

Customer Care Specialist

Billing and Insurance Specialist/ Front Office

Administrative Specialist 2 - Admissions

Administrative Specialist 2 - Experiential Learning & Engagement

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for authorization specialist in youngstown, oh

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected