Revenue Cycle Specialist: Insurance & Authorizations

Socket.dev; Fairlawn (OH); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

Short and Long Term Disability

401(K) with safe harbor match

PTO

7 paid holidays

Employee Assistance Program

Job summary

LLA Therapy is seeking an experienced Revenue Cycle Coordinator to join our pediatric therapy team in Ohio. You will focus on insurance verification and benefits, prior authorizations, and managing denials and appeals.

The ideal candidate tackles problems, takes ownership, researches issues, and drives them to resolution, collaborating with billing, scheduling, and clinical staff. Responsibilities include verifying benefits, reviewing outpatient coverage, obtaining authorizations, resolving

Qualifications

• High school diploma or GED required.
• Experience in medical billing, insurance verification, prior authorizations, denial management, or healthcare administration.
• Knowledge of commercial insurance and/or Medicaid managed care preferred.
• Understanding of CPT codes, medical terminology, insurance terminology, and healthcare billing processes.
• Experience with insurance company websites and payer portals.
• Strong problem-solving and organizational skills.
• Excellent written and verbal communication; ability to work independently and with teams.

Responsibilities

• Verify patient benefits before services begin and during treatment.
• Review coverage for outpatient therapies (occupational, physical, and speech).
• Identify coverage issues affecting services or reimbursement.
• Maintain up-to-date insurance information.
• Communicate benefit information clearly with families and staff.
• Research and resolve discrepancies between verified benefits and claims.
• Obtain initial prior authorizations and monitor expiration dates.
• Submit clinical documentation to insurance companies and follow up on authorizations.
• Review denied claims and determine root causes; prepare appeals when needed.
• Track denials and follow up to resolution; identify denial trends for leadership.
• Collaborate with billing, scheduling, and clinical teams to prevent issues.

Skills

Attention to detail

Organizational skills

Written and verbal communication

Problem-solving

Independent work

Team collaboration

Education

High school diploma or GED

Tools

Payer portals

CPT codes knowledge

Job description

LLA Therapy is seeking an experienced Revenue Cycle Coordinator to join our pediatric therapy team in Ohio. You will focus on insurance verification and benefits, prior authorizations, and managing denials and appeals.

The ideal candidate tackles problems, takes ownership, researches issues, and drives them to resolution, collaborating with billing, scheduling, and clinical staff. Responsibilities include verifying benefits, reviewing outpatient coverage, obtaining authorizations, resolving