Medical Billing & Authorization Coordinator

Youngs Physical Therapy; Greenville, Northern (NC, KY); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Youngs Physical Therapy is seeking a Medical Billing & Authorization Coordinator to manage prior authorizations for physical therapy services and verify insurance eligibility. The role collaborates closely with clinical staff to ensure medical necessity documentation meets payer requirements and supports a smooth patient experience.

The candidate should have 1–2 years in a healthcare admin setting, strong knowledge of insurance plans and medical terminology, and experience with EHRs and payer

Qualifications

• 1–2 years of experience in a clinical or healthcare administrative setting.
• Strong knowledge of insurance plans, prior authorization processes, and medical terminology.
• Experience using electronic health records (EHR), payer portals, and prior authorization platforms.
• Understanding of benefits verification, insurance plans, and medical necessity criteria.

Responsibilities

• Submit and manage prior authorization requests through payer portals and authorization platforms.
• Verify patient insurance benefits and eligibility prior to scheduled services.
• Review and resolve authorization denials and appeals in a timely manner.
• Coordinate with clinical staff to ensure medical necessity documentation meets payer requirements.
• Prepare and review daily reconciliation reports.
• Maintain accurate medical records in accordance with clinic policies.
• Handle incoming and outgoing correspondence related to billing and authorizations.
• Deliver high level of customer service to patients and clients.
• Assist in maintaining a clean and welcoming office environment.

Skills

Prior Authorization

Medical Billing

Insurance Verification

EHR Proficiency

Payer Portals

Attention to Detail

Communication

Tools

EHR systems

Payer portals

Job description

Medical Billing & Authorization Coordinator

The Medical Billing & Authorization Coordinator is responsible for managing the prior authorization process for physical therapy services, ensuring timely approval of patient care while maintaining compliance with insurance requirements. This role requires strong knowledge of insurance plans, medical necessity criteria, and payer portals, along with excellent organizational and communication skills. The Medical Billing & Authorization Coordinator works closely with clinical staff and insurance representatives to secure approvals, resolve denials, and support a seamless patient experience.

Duties & Responsibilities

• Submit and manage prior authorization requests through payer portals and authorization platforms
• Verify patient insurance benefits and eligibility prior to scheduled services
• Review and resolve authorization denials and appealsin a timely manner
• Coordinate with clinical staff to ensure medical necessity documentation meets payer requirements
• Prepare and review daily reconciliation reports
• Manage andmaintainaccuratemedical recordsin accordance withclinic policies
• Handle incoming and outgoing correspondence related to physical therapy billing and authorizations
• Delivera high levelof customer service to patients and clients,demonstratingkindness, professionalism, and care
• Assistinmaintaininga clean and welcoming office environment

Other Responsiblities

• Ensuring yourself as well as your team members are living into the mission, vision and core values of Youngs Physical Therapy & Sports Performance
• Actively listen & participate in team meetings
• Performs other related duties as assigned

What Makes You a Great Fit

• Minimum of 1–2 years of experience in a clinical or healthcare administrative setting
• Strong knowledge of insurance plans, prior authorization processes, and medical terminology
• Experience using electronic health records (EHR), payer portals, and prior authorization platforms
• Understanding of benefits verification, insurance plans, and medical necessity criteria
• Strong organizational skills and exceptional attention to detail
• Ability to thrive in a fast-paced environment, prioritize tasks, and meet deadlines