Authorization Specialist - Hybrid

ATI Physical Therapy; Village of Pewaukee (WI); Hybrid; USD 42,000 - 60,000; Full time

Job summary

ATI Physical Therapy seeks an Authorization Specialist to obtain patient authorizations by supplying forms and clinical data to insurers. This hybrid role involves in-office training at Pewaukee, Milwaukee, and Madison Wisconsin clinics and coordination with Revenue Cycle staff and clinicians.

The role emphasizes strong organization, attention to detail, multitasking, and clear communication to ensure timely authorizations and compliance with policies.

Qualifications

• High School diploma is required.
• 1 year of Healthcare or Health Insurance experience required.

Responsibilities

• Develop relationships with Nurse Case Managers/Adjusters to provide top notch customer service experience.
• Verify and obtain authorizations as required by insurance companies depending on plan coverage for all patients.
• Enter authorized dates, visit or units into ATI’s EMR to track therapy services.
• Coordinate efforts between insurance companies and the clinic regarding forms and timelines to maintain authorization for continued care.
• Provide feedback for authorization changes per insurance plan changes.
• Coordinate with Central Billing Office for missed authorizations during therapy sessions.
• Handle the assigned authorization workload to ensure timely completion of requests.
• Ensure compliance with departmental and company policies and procedures.
• Complete all assigned training programs.
• Collaborate with team members with supportive communication and feedback.

Skills

Strong organization

Attention to detail

Multitask

Collaboration

Written & verbal communication

Customer orientation

Interpersonal skills

MS 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 EducationRequired:

• High School diploma

Minimum ExperienceRequired:

• 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.
• Proficientin Microsoft Office (Word, PowerPoint, Excel).

Virtual Employee?

Hybrid

Location/Org Data : Dept Number

1022