Remote Verification & Authorization Specialist

Paycom; Knoxville (TN); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Functional Pathways in Knoxville, TN is seeking a Verification/Authorization Specialist to verify insurance coverage and obtain pre-authorizations for therapy services. This full-time role offers on-site in Knoxville or remote work flexibility for eligible candidates.

You will contact insurance carriers, document communications, and ensure accurate CPT/HCPCS/ICD-10 coding, while communicating clearly with patients and providers to facilitate timely access to care.

Qualifications

• High school diploma or GED is required.
• Experience in medical billing or insurance verification preferred.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding.
• Excellent communication and independent work skills.
• Detail-oriented with accuracy and efficiency.

Responsibilities

• Verify insurance coverage and obtain pre-authorizations for therapy services.
• Contact insurance carriers to confirm patient eligibility and benefit details.
• Document communication and update patient records.
• Explain coverage information to patients and providers as needed.
• Ensure proper use of CPT, HCPCS, and ICD-10 coding when applicable.

Skills

Medical billing

Insurance verification

Communication skills

Attention to detail

Education

High school diploma or GED

Tools

CPT coding

HCPCS coding

ICD-10 coding

Job description

Functional Pathways in Knoxville, TN is seeking a Verification/Authorization Specialist to verify insurance coverage and obtain pre-authorizations for therapy services. This full-time role offers on-site in Knoxville or remote work flexibility for eligible candidates.

You will contact insurance carriers, document communications, and ensure accurate CPT/HCPCS/ICD-10 coding, while communicating clearly with patients and providers to facilitate timely access to care.