Patient Insurance Verifications & 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

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.