Full-time Verification/Authorization Specialist

Functional Pathways; Knoxville (TN); Hybrid; USD 42,000 - 56,000; Full time

Job summary

Functional Pathways is hiring a Verification/Authorization Specialist to join our corporate team in Knoxville, TN, with an on-site or remote work option. This full-time role ensures accurate insurance verification and timely pre-authorizations for therapy services.

You will contact carriers, document communications, explain coverage details to patients and providers, and ensure correct CPT/HCPCS/ICD-10 coding, contributing to seamless access to needed therapies.

Qualifications

• High school diploma or GED required.
• Experience in medical billing, insurance verification, or authorization preferred.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding.
• Excellent communication skills and the ability to work independently. Detail-oriented with a commitment to accuracy and efficiency.

Responsibilities

• Verify insurance coverage and obtain pre-authorizations for therapy services.
• Contact insurance carriers to confirm patient eligibility and benefit details.
• Accurately document communication and update patient records.
• Explain coverage information to patients and providers as needed.
• Ensure proper use of CPT, HCPCS, and ICD-10 coding when applicable.

Skills

Medical billing

Insurance verification

Authorization

Medical terminology

CPT coding

HCPCS coding

ICD-10 coding

Communication skills

Independence

Attention to detail

Education

High school diploma or GED

Job description

Verification/Authorization Specialist – Full-Time

Work Location: On-Site in Knoxville, TN or Remote

Join Functional Pathways – Where Your Expertise Makes an Impact!

Functional Pathways, a therapist-owned organization with over 30 years of experience in senior care, is looking for an experienced Verification/Authorization Specialist to join our corporate team. This full-time role ensures seamless insurance verification and authorization for therapy services.

Why Join Us?

• Stability & Growth – Be part of a well-established company dedicated to excellence in senior care.
• Supportive Team Environment – Work alongside professionals who value collaboration and expertise.
• Impactful Work – Play a crucial role in helping patients access the therapy services they need.

What You’ll Do

• Verify insurance coverage and obtain pre-authorizations for therapy services.
• Contact insurance carriers to confirm patient eligibility and benefit details.
• Accurately document communication and update patient records.
• Explain coverage information to patients and providers as needed.
• Ensure proper use of CPT, HCPCS, and ICD-10 coding when applicable.

Qualifications

What We’re Looking For:

• High school diploma or GED required.
• Prior experience in medical billing, insurance verification, or authorization preferred.
• Strong knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding.
• Excellent communication skills and the ability to work independently.Detail-oriented with a commitment to accuracy and efficiency.