Authorization Specialist

ATI Physical Therapy; City of Pewaukee (WI); Hybrid; USD 38,000 - 48,000; Full time

Job summary

ATI Physical Therapy in Pewaukee, WI is seeking an Authorization Specialist to obtain insurance authorizations by providing required forms and clinical data to insurance providers. This hybrid role includes in-office training at multiple Wisconsin clinics and coordinating with Nurse Case Managers and the Central Billing Office to keep authorizations current.

Applicants should have a High School diploma and at least 1 year of healthcare or health insurance experience, plus strong organization and

Qualifications

• High School diploma required.
• 1 year of Healthcare or Health Insurance experience preferred.
• Strong organizational and communication skills.
• Proficient in Microsoft Office.

Responsibilities

• Develop relationships with Nurse Case Managers/Adjusters to provide top notch customer service.
• Verify and obtain authorizations as required by insurance plans.
• Enter authorized dates, visits, or units into ATI’s EMR to track therapy services.
• Coordinate with insurance companies and clinics to maintain timely authorizations.
• Provide feedback on authorization changes according to plan updates.
• Collaborate with the Central Billing Office on missed authorizations.
• Handle workload efficiently to ensure timely requests and compliance.

Skills

Organization skills

Attention to detail

Multitasking

Communication

Customer orientation

Microsoft Office

Education

High School diploma

Tools

Microsoft Office

Job description

Overview

The Authorization Specialist is responsible for obtaining authorizations for our patients by providing the appropriate forms and clinical data to insurance companies. This role works with Revenue Cycle staff members and Clinicians to coordinate the authorization process in a timely and accurate manner for various carriers.

This is a hybrid position that requires in-office training and team meetings at our clinic locations around Pewaukee, Milwaukee, and Madison Wisconsin.

ATI Physical Therapy Careers

Responsibilities

• Develop relationships with Nurse Case Managers/Adjusters to provide top notch customer service experience.
• Verify and obtain authorizations as required by insurance companies dependent upon the plan coverage for all patients.
• Accurately enter authorized dates, visit or units into ATI’s Electronic Medical Records (EMR) to correctly track therapy services.
• Coordinate efforts and communication between the insurance companies and the clinic regarding insurance specific forms and timelines so that the patient is authorized throughout any continued care that is needed.
• Provide feedback for authorization changes according to insurance plan changes.
• Collaborate with the Central Billing Office for missed authorizations while the patient was being seen for therapy service.
• Efficiently handle the assigned authorization workload to assure timely completion of requests.
• Ensure compliance to departmental and company policies and procedures.
• Complete all assigned training programs.
• Collaborate with team members with supportive communication, respect, and appropriate feedback.

Qualifications

Minimum Education Required:

• High School diploma

Minimum Experience Required:

• 1 year of Healthcare or Health Insurance experience.

Knowledge, Skills, and Abilities

• Strong organization skills to initiate and follow-up on authorizations.
• Attention to detail.
• Ability to multitask.
• Ability to collaborate with internal and external teams.
• Ability to provide clear direction through written and verbal communication.
• Strong customer orientation.
• Excellent interpersonal and communication skills.
• Proficient in Microsoft Office (Word, PowerPoint, Excel).

Virtual Employee?

Hybrid

Location/Org Data : Dept Number 1022