Multi-Location PT Authorization Specialist

Talentify; Plymouth (MI); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Competitive pay

Growth opportunities

On-the-job training

Health benefits

Meaningful work

Job summary

Plymouth Physical Therapy Specialists is seeking an Authorization Specialist to join our team. This role focuses on obtaining and managing insurance authorizations across multiple clinic locations, ensuring patients receive timely access to care and supporting efficient operations.

The ideal candidate will have experience with insurance authorizations, medical billing, and healthcare administration, with a strong grasp of benefits and payer portals.

Qualifications

• Experience with insurance authorizations, medical billing, or healthcare administration.
• Strong understanding of insurance benefits and authorization processes.
• Experience with multiple insurance carriers and payer portals.

Responsibilities

• Obtain, verify, and maintain insurance authorizations for physical therapy services across multiple locations.
• Manage authorization requirements for commercial, Medicare, Medicaid, workers’ compensation and other payers.
• Verify patient insurance benefits, eligibility, visit limitations, and authorization requirements.
• Submit authorization requests through portals, fax, phone, or other payer-specific processes.
• Track authorization status, approved visits, expiration dates, and remaining visits.
• Communicate with insurance companies regarding pending, denied, or additional authorization requests.
• Work with front-office staff, therapists, and management to ensure authorization information is current and accurate.
• Identify authorization issues that could impact patient care or reimbursement and resolve them promptly.
• Maintain organized documentation of all authorization activity.
• Monitor payer-specific requirements and adapt to policy changes.
• Help ensure compliance with insurance guidelines and company procedures.

Job description

Plymouth Physical Therapy Specialists is seeking an Authorization Specialist to join our team. This role focuses on obtaining and managing insurance authorizations across multiple clinic locations, ensuring patients receive timely access to care and supporting efficient operations.

The ideal candidate will have experience with insurance authorizations, medical billing, and healthcare administration, with a strong grasp of benefits and payer portals.