Authorization Specialist

PT Solutions Physical Therapy; United States; On-site; USD 25,000 - 28,000; Full time

Benefits offered by this job

Top Workplace recognition

Competitive hourly pay

Job summary

PT Solutions Physical Therapy is seeking an Authorization Specialist to manage the end-to-end prior authorization process for both private clinics and hospital settings.

You will collect documentation, obtain missing information, submit requests to payors, and maintain accurate EMR records while delivering excellent customer service to clients and medical staff.

Qualifications

• Typing speed of 60 wpm preferred.
• Strong interpersonal, oral and written communication skills.
• Good organizational skills with ability to prioritize deadlines.
• Solid understanding of medical reimbursement and terminology.

Responsibilities

• Submit prior authorizations for new and ongoing patient needs.
• Communicate with colleagues from other departments to gather information.
• Proficiently use ICD-10 and CPT codes in authorization processing.
• Document account activity and correspondence for inquiries in a timely manner.

Skills

Typing speed 60 wpm

Interpersonal communication

Organizational skills

Medical billing knowledge

Microsoft Office proficiency

Education

High School Diploma

Tools

Microsoft Office

EMR system

Job description

The Authorization Specialist position is to be responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of authorization (both private clinic and hospital clinics). Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and claim information within assigned EMR system. Ensure all functionalities are utilized for the most efficient processing of claims and identifies prior authorization trends and/or issues resulting in delayed claims processing. Provides the highest level of customer service to internal and external clients. This position requires simple computer data entry and use of Microsoft Office Products

Essential Functions

• Obtains necessary information to submit authorizations for new and continue of care patient needs.
• Communicates and works effectively with colleagues from other departments
• Become proficient in the use of ICD-10 and CPT codes
• Understand Payor expectations for billing, reimbursement, credentialing, audit
• Identify and report trends and prior authorization issues relating to billing and reimbursement
• Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly production goals
• Document all account activity and correspond to inquires in a timely manner
• Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims
• Research patient accounts due to invalid and/or missing authorization information and correspond with clients,
• insurance companies, patients, sales representatives to obtain the necessary information to ensure accurate, timely
• and complete claims submission
• Prepares daily productivity report and submits it to Authorization Supervisor
• Performs additional duties deemed necessary to the position and its function

Desired Skills & Abilities

• Ability to type 60 words per minute preferred.
• Strong interpersonal, oral (includes telephone skills) and written communication skills.
• Good organizational skills and an ability to prioritize to meet deadlines.
• Complete understanding of medical reimbursement and terminology.
• Ability to work with disabled individuals.
• Working knowledge of all standard office equipment.
• Working knowledge of insurance and outpatient billing procedures.
• High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting
• One to two years of medical billing and administrative experience

Compensation

• $18-20 hourly (Any posted pay range considers a wide range of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position)

A Top Workplace

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

PT Solutions has been named a 2026 USA Today Top Workplace for the fifth consecutive year, based entirely on employee feedback. We’ve also earned five Culture Excellence Awards for Innovation, Professional Development, Work-Life Flexibility, Appreciation, and Purpose & Values. This recognition reflects a culture built around supporting our people. It’s not just what we do, but how we make people feel. Through human connection, intentional care, and being all in for one another, we create experiences that make a difference. Because together, we do great better.

We are an equal opportunity employer and welcome all qualified candidates to apply!