Insurance Verification & Authorization Specialist

Lawall Prosthetic and Orthotic Services; Langhorne (Bucks County); On-site; USD 42,000 - 54,000; Full time

Job summary

Lawall Prosthetic & Orthotic Services in Bucks County is seeking an Insurance Verification & Authorization Specialist to join a patient-focused team. You will verify insurance benefits and obtain authorizations to ensure timely access to prosthetic and orthotic services, acting as the first point of contact for patients and referrals.

Join a friendly, team-oriented environment with a Monday–Friday schedule (8:00 am–4:30 pm) and a role that emphasizes accuracy, HIPAA compliance, and clear

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

Job description

Insurance Verification & Authorization Specialist

We are seeking a professional, dependable, and customer-focused individual who enjoys working in a friendly, team-oriented environment. The Insurance Verification & Authorization Specialist serves as the first point of contact for our patients, referral sources, and visitors. As an Insurance Verification Specialist, you will play a critical role in ensuring patients receive timely access to prosthetic and orthotic services by verifying insurance benefits and securing necessary authorizations. The Insurance Verification & Authorization Specialist reports directly to the Patient Accounts Supervisor and plays a vital role in ensuring an exceptional patient experience.

Work Schedule: Monday - Friday, 8- 4:30 pm

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

What We're Looking For

• Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
• Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
• Understanding of HCPCS coding, ICD-10 coding, and payer allowable guidelines.
• Strong organizational skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with medical billing software and Microsoft Office applications.

Why Join Lawall?

At Lawall, our employees make a meaningful impact every day by helping patients regain mobility and improve their quality of life. We offer:

• Supportive and collaborative team environment
• Opportunities for professional growth and development
• Competitive pay and comprehensive benefits package
• The opportunity to make a difference in patients' lives

If you're looking for a rewarding career where your work truly impacts the lives of others, we'd love to hear from you!

Lawall Prosthetic & Orthotic Services is an Equal Opportunity Employer.

This is a drug-free workplace. Employment offers are contingent upon successfully passing a pre-employment drug screening and background check.