Insurance Verification & Authorization Specialist

Lawall Prosthetics and Orthotics Services; Langhorne (Bucks County); On-site; USD 42,000 - 56,000; Full time

Job summary

Lawall Prosthetic & Orthotic Services is seeking a reliable Insurance Verification & Authorization Specialist to be the first point of contact for patients, referral sources, and visitors. This role ensures timely access to prosthetic and orthotic services by verifying benefits and securing required authorizations.

The position reports to the Patient Accounts Supervisor and supports exceptional patient experiences.

Qualifications

• 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.

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.

Skills

Insurance verification

Prior authorizations

Medical billing

Healthcare reimbursement

Medicare/Medicaid knowledge

ICD-10/HCPCS knowledge

Organization

Written/verbal communication

Tools

Medical billing software

Microsoft Office

Job description

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:

• Stable Monday–Friday schedule
• 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.