Authorization Specialist - PT Clinic | Autonomy & Impact

Theravolve; Weatherford (TX); On-site; USD 15,000 - 25,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Paid holidays

Retirement plan with company match

Employee recognition program

Job summary

Theravolve Weatherford, TX is seeking an Authorization Specialist to manage insurance verification, prior authorizations, and billing coordination, ensuring patients access therapy without delays.

The role demands meticulous attention to detail, strong communication, and ability to navigate complex payer processes across multiple insurers. You will collaborate with therapists and staff to maintain seamless care delivery.

Qualifications

• High school diploma or equivalent required; additional education or certification in medical billing, coding, or healthcare administration preferred.
• Proven experience in insurance verification and prior authorization, preferably in a healthcare or physical therapy setting.
• Knowledge of medical terminology and coding systems, including CPT and ICD-10.
• Proficient in electronic health record (EHR) systems and billing software.
• Strong analytical, organizational, and time management skills with the ability to manage multiple priorities simultaneously.
• Excellent verbal and written communication skills; ability to build rapport with patients and insurance representatives.
• Working knowledge of HIPAA regulations and commitment to maintaining patient confidentiality.
• Minimum typing speed of 45 WPM; proficiency in Microsoft Word, Excel, and standard office software.
• Team-oriented with a proactive, problem-solving approach and a strong customer service focus.

Responsibilities

• Verify insurance coverage for new patients: eligibility, benefits, coverage limitations, copayments, deductibles, and payer-specific requirements.
• Obtain prior authorizations and re-authorizations for physical therapy services; collaborate with providers to gather documentation and submit requests within required timeframes.
• Monitor and track authorization status to ensure timely approvals and uninterrupted patient care.
• Coordinate with the billing department to support accurate claims processing, including submitting treatment plans, authorization details, and insurance documentation.
• Educate patients and their families on their insurance benefits, financial responsibilities, and coverage details.
• Maintain detailed records of verifications, authorizations, and communications in the electronic health record (EHR) system.
• Collaborate with therapists, providers, and clinic staff to ensure seamless coordination of care and accurate documentation.

Skills

Insurance verification

Prior authorization

Billing coordination

Excellent communication

HIPAA knowledge

Education

High school diploma or equivalent

Medical billing/coding certification (preferred)

Tools

EHR systems

Billing software

Job description

Theravolve Weatherford, TX is seeking an Authorization Specialist to manage insurance verification, prior authorizations, and billing coordination, ensuring patients access therapy without delays.

The role demands meticulous attention to detail, strong communication, and ability to navigate complex payer processes across multiple insurers. You will collaborate with therapists and staff to maintain seamless care delivery.