Care Access Specialist — Insurance Authorizations

U.S. Physical Therapy; Plymouth (MI); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive pay

Growth opportunities

Supportive team

On-the-job training

Health benefits

Job summary

Plymouth Physical Therapy Specialists is seeking an Authorization Specialist to obtain and manage insurance authorizations across multiple clinic locations. This role supports timely access to care by ensuring accurate benefits verification and efficient, compliant authorization workflows.

You will collaborate with front-office staff, therapists, and management to track approvals, expiration dates, and remaining visits, while staying current with payer policies and procedures.

Qualifications

• Previous experience with insurance authorizations, medical billing, 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.

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.

Job description

Plymouth Physical Therapy Specialists is seeking an Authorization Specialist to obtain and manage insurance authorizations across multiple clinic locations. This role supports timely access to care by ensuring accurate benefits verification and efficient, compliant authorization workflows.

You will collaborate with front-office staff, therapists, and management to track approvals, expiration dates, and remaining visits, while staying current with payer policies and procedures.