Autonomy-Driven Authorization Specialist — PT Clinic

Ptaclinic

Weatherford (TX)

On-site

USD 23,000 - 25,000

Full time

3 days ago
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Benefits offered by this job

Medical, Dental, Vision plans
Paid time off and holidays
Retirement plan with company match
Employee recognition program
Voluntary benefit options
Weatherford location

Job summary

SRPT in Weatherford, TX is seeking an Insurance Authorization Specialist to manage verification, authorizations, and billing coordination to ensure patients access therapy without delays.

The role requires meticulous attention to detail, strong communication, and the ability to navigate complex insurance processes across multiple payers. Candidates should have healthcare experience and proficiency with EHR systems.

Qualifications

  • High school diploma or equivalent required; certification in medical billing/coding or healthcare administration preferred.
  • Experience in insurance verification and prior authorization in a healthcare or PT setting is preferred.
  • Knowledge of CPT and ICD-10 coding.
  • Proficient with EHR systems and billing software.
  • Strong analytical, organizational, and time-management skills with multi-tasking ability.
  • Excellent verbal and written communication; ability to build rapport with patients and insurers.
  • HIPAA compliance and patient confidentiality.
  • Typing speed of 45 WPM; proficiency in Microsoft Word/Excel.

Responsibilities

  • Verify insurance coverage for new patients including eligibility, benefits, copays, deductibles, and payer requirements.
  • Obtain prior authorizations and re-authorizations for physical therapy; gather documentation and submit within deadlines.
  • Monitor authorization status to ensure timely approvals and uninterrupted patient care.
  • Coordinate with billing to support accurate claims processing and documentation.
  • Educate patients on insurance benefits, financial responsibilities, and coverage details.
  • Maintain detailed records in the EHR of verifications, authorizations, and communications.
  • Collaborate with therapists and staff to ensure seamless care coordination and documentation.

Skills

Insurance verification
Prior authorization
CPT/ICD-10 knowledge
EHR systems
Billing software
Analytical skills
Organization
Time management
Communication skills
HIPAA compliance
Typing 45 WPM
Team player

Education

High school diploma or equivalent
Medical billing/coding/healthcare administration certification

Tools

Electronic Health Record (EHR) systems
Billing software

Job description

SRPT in Weatherford, TX is seeking an Insurance Authorization Specialist to manage verification, authorizations, and billing coordination to ensure patients access therapy without delays.

The role requires meticulous attention to detail, strong communication, and the ability to navigate complex insurance processes across multiple payers. Candidates should have healthcare experience and proficiency with EHR systems.

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