Authorization Specialist

Talentify; Plymouth (MI); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Competitive pay

Growth opportunities

On-the-job training

Health benefits

Meaningful work

Job summary

Plymouth Physical Therapy Specialists is seeking an Authorization Specialist to join our team. This role focuses on obtaining and managing insurance authorizations across multiple clinic locations, ensuring patients receive timely access to care and supporting efficient operations.

The ideal candidate will have experience with insurance authorizations, medical billing, and healthcare administration, with a strong grasp of benefits and payer portals.

Qualifications

• Experience with insurance authorizations, medical billing, or healthcare administration.
• Strong understanding of insurance benefits and authorization processes.
• Experience with multiple insurance carriers and payer portals.

Responsibilities

• Obtain, verify, and maintain insurance authorizations for physical therapy services across multiple locations.
• Manage authorization requirements for commercial, Medicare, Medicaid, workers’ compensation and other payers.
• Verify patient insurance benefits, eligibility, visit limitations, and authorization requirements.
• Submit authorization requests through portals, fax, phone, or other payer-specific processes.
• Track authorization status, approved visits, expiration dates, and remaining visits.
• Communicate with insurance companies regarding pending, denied, or additional authorization requests.
• Work with front-office staff, therapists, and management to ensure authorization information is current and accurate.
• Identify authorization issues that could impact patient care or reimbursement and resolve them promptly.
• Maintain organized documentation of all authorization activity.
• Monitor payer-specific requirements and adapt to policy changes.
• Help ensure compliance with insurance guidelines and company procedures.

Job description

Company Description

We are a patient-centered physical therapy clinic dedicated to helping individuals recover, strengthen, and thrive. Our team of licensed therapists and support staff work closely with patients to provide customized treatment plans and exceptional care.

At PPTS, we’re your go-to for outpatient needs, spanning orthopedics, sports injuries, joint replacement, industrial rehabilitation, pediatrics, and geriatrics. We aim to be an integral part of your rehab team, working closely with you and your physician to craft a therapy program aligned with your goals for optimized recovery.

Our commitment extends to Evidence-Based treatments, ensuring our therapists stay at the forefront of the evolving medical landscape. We prioritize continuing education, staying abreast of current research, and discarding outdated practices for outcomes, efficiency, and patient satisfaction that are second to none.

Our goal-oriented team approach involves close collaboration between physician, physical therapist, and patient to achieve maximum results. Specializing in orthopedic physical therapy, we emphasize patient education and the importance of home programs in a successful physical therapy journey.

Job Description

Authorization Specialist

Plymouth Physical Therapy Specialists is seeking a detail-oriented and organized Authorization Specialist to join our team. This position is responsible for obtaining and managing insurance authorizations across multiple clinic locations and all insurance types, helping ensure our patients receive timely access to care while supporting accurate and efficient clinic operations.

Responsibilities

• Obtain, verify, and maintain insurance authorizations for physical therapy services across multiple locations.
• Manage authorization requirements for a wide range of insurance plans, including commercial, Medicare, Medicaid, workers’ compensation, and other payers.
• Verify patient insurance benefits, eligibility, visit limitations, and authorization requirements.
• Submit authorization requests accurately and in a timely manner through insurance portals, fax, phone, or other payer-specific processes.
• Track authorization status, approved visits, expiration dates, and remaining visits.
• Communicate with insurance companies regarding pending, denied, or additional authorization requests.
• Work closely with front-office staff, therapists, and management to ensure authorization information is current and accurate.
• Identify authorization issues that could impact patient care or reimbursement and resolve them promptly.
• Maintain organized and accurate documentation of all authorization activity.
• Monitor payer-specific requirements and adapt to changes in insurance policies and authorization procedures.
• Help ensure compliance with insurance guidelines and company procedures.

Qualifications

• Previous experience with insurance authorizations, medical billing, insurance verification, or healthcare administration preferred.
• Strong understanding of insurance benefits and authorization processes.
• Experience working with multiple insurance carriers and payer portals.
• Excellent attention to detail and organizational skills.
• Ability to manage multiple locations, patients, payers, and deadlines simultaneously.
• Strong communication and problem-solving skills.
• Comfortable working independently while collaborating with a multi-location team.
• Proficiency with computers and electronic medical record systems.
• Physical therapy, medical office, or rehabilitation experience is a plus.

What We're Looking For

The ideal candidate is someone who is organized, proactive, dependable, and comfortable navigating the complexities of insurance authorization requirements. You should be able to prioritize a high volume of requests while maintaining accuracy and excellent communication with both insurance companies and our clinical teams.

Additional Information

• Competitive pay and growth opportunities
• Supportive and collaborative team environment
• On-the-job training and development
• Health benefits (for eligible employees)
• Meaningful work helping people improve their quality of life