Impactful Insurance 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

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.