Full-time Verification/Authorization Specialist

Paycom; Knoxville (TN); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Functional Pathways in Knoxville, TN is seeking a Verification/Authorization Specialist to verify insurance coverage and obtain pre-authorizations for therapy services. This full-time role offers on-site in Knoxville or remote work flexibility for eligible candidates.

You will contact insurance carriers, document communications, and ensure accurate CPT/HCPCS/ICD-10 coding, while communicating clearly with patients and providers to facilitate timely access to care.

Qualifications

• High school diploma or GED is required.
• Experience in medical billing or insurance verification preferred.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding.
• Excellent communication and independent work skills.
• Detail-oriented with accuracy and efficiency.

Responsibilities

• Verify insurance coverage and obtain pre-authorizations for therapy services.
• Contact insurance carriers to confirm patient eligibility and benefit details.
• 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

Communication skills

Attention to detail

Education

High school diploma or GED

Tools

CPT coding

HCPCS coding

ICD-10 coding

Job description

Job Details

Location: Knoxville, TN 37932

Position Type: Full Time

Verification/Authorization Specialist - Full-Time

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

Join Functional Pathways - Where Your Expertise Makes an Impact!

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.