Rehab Insurance Verifications & Referrals Coordinator

Louisiana Orthopaedic Specialists; Lafayette (LA); On-site; USD 36,000 - 52,000; Full time

Job summary

Louisiana Orthopaedic Specialists in Lafayette, LA is seeking an Insurance Verification and Referral Coordinator to verify benefits for outpatient physical and occupational therapy and manage referrals end-to-end.

You will collaborate with therapists and front desk staff to obtain authorizations, communicate coverage details, and post payments accurately. The role requires 1–2 years of billing experience and strong attention to detail.

Qualifications

• 1–2 years of experience in medical billing or insurance verification, ideally in a therapy or outpatient setting.

Responsibilities

• Verify patient insurance coverage and therapy-specific benefits prior to treatment
• Determine authorization requirements and obtain prior authorization as needed
• Communicate coverage details and out-of-pocket expectations to front office staff and clinicians
• Prepare and submit accurate electronic and paper claims using appropriate CPT, ICD-10, and modifier codes
• Ensure claims are submitted in accordance with payer-specific rules and deadlines
• Track claim status and identify issues early in the billing cycle
• Research and resolve denied or rejected claims
• Submit appeals or corrected claims as needed
• Coordinate with therapists for documentation needed to support medical necessity
• Accurately post insurance and patient payments
• Review EOBs/ERAs and reconcile discrepancies
• Follow up on outstanding claims and aging accounts
• Maintain clear records of all verification and billing activity
• Communicate proactively with therapists, front desk staff, and patients regarding billing issues
• Assist with maintaining and updating payer requirements reference materials

Skills

Medical billing experience

Education

High school diploma or equivalent

Medical billing certification or associate’s degree preferred

Job description

Louisiana Orthopaedic Specialists in Lafayette, LA is seeking an Insurance Verification and Referral Coordinator to verify benefits for outpatient physical and occupational therapy and manage referrals end-to-end.

You will collaborate with therapists and front desk staff to obtain authorizations, communicate coverage details, and post payments accurately. The role requires 1–2 years of billing experience and strong attention to detail.