Rehabilitation Insurance & Referral Specialist

Louisiana Orthopaedic Specialists LLC; Lafayette (LA); On-site; USD 25,000 - 41,000; Full time

Job summary

Louisiana Orthopaedic Specialists LLC is seeking a Rehabilitation- Insurance Verification and Referral Coordinator to ensure timely verification of insurance benefits for outpatient physical and occupational therapy services. The role supports the rehabilitation department by managing referrals and scheduling in accordance with policies.

Responsibilities include submitting claims, obtaining authorizations, communicating coverage details to staff and clinicians, and reconciling payments.

Qualifications

• 1–2 years of experience in medical billing or insurance verification, preferably in therapy or outpatient setting.
• Knowledge of CPT, ICD-10 and modifier codes is beneficial.
• Strong communication and coordination with therapists and office staff.

Responsibilities

• Verify patient insurance coverage and therapy 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 CPT, ICD-10, and modifiers.
• Track claim status and address issues early in the billing cycle.
• Research and resolve denied or rejected claims, submitting appeals when needed.
• Coordinate with therapists for documentation to support medical necessity.
• Maintain clear records of verification and billing activity.

Skills

Medical billing

Insurance verification

Communication

Team leadership

Education

High school diploma or equivalent

Medical billing certification (preferred)

Job description

Louisiana Orthopaedic Specialists LLC is seeking a Rehabilitation- Insurance Verification and Referral Coordinator to ensure timely verification of insurance benefits for outpatient physical and occupational therapy services. The role supports the rehabilitation department by managing referrals and scheduling in accordance with policies.

Responsibilities include submitting claims, obtaining authorizations, communicating coverage details to staff and clinicians, and reconciling payments.