Verification/Authorization Clerk

Precision Rehabilitation & Orthopedic Physical Therapy (PRO PT); Visalia (CA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Dental & vision

Employer paid group life insurance

Short-term disability

Critical illness

Hospital indemnity

Voluntary life insurance

401(k) matching

Paid vacation

Sick time

Holidays

Job summary

Precision Rehabilitation & Orthopedic Physical Therapy in Visalia, CA is seeking a dedicated insurance verification specialist. You will handle authorization requests, verify patient coverage, and coordinate with managed care and CPT departments to resolve discrepancies.

The role emphasizes clear communication with patients, timely documentation, and teamwork. A high school diploma and at least one year of verification experience are preferred; on-site work with competitive benefits is provided.

Qualifications

• Minimum of one year of insurance verification experience.
• Strong attention to detail and organization.
• Excellent communication skills required.

Responsibilities

• Process authorization requests; research, follow up and document insurance information in patient charts.
• Communicate via phone with customers, employees, and vendors with excellent customer service.
• Maintain attention to detail, organization, and time management.
• Submit timesheets daily.
• Maintain regular, predictable attendance per attendance policy.
• Assist in training, ordering supplies, and other duties as assigned.

Skills

Customer service

Phone communication

Multitasking

Time management

Education

High School Diploma

Insurance verification experience

Medical terminology knowledge

Job description

• Health Care-100% health insurance premium covered by PRO~PT for Employee
• Dental and vision
• Employer paid group life insurance
• Additional benefits: short-term disability, critical illness, hospital indemnity, and voluntary life insurance
• Retirement-401(k) with employer matching
• Vacation-Two weeks (10 days) paid vacation, five days designated sick time, seven paid holidays.

General Summary

Performs insurance authorizations/verification. Responsibilities include but are not limited to heavy phone contact with managed care companies, communicating with insurance companies' authorization departments regarding any CPT code discrepancies (as assigned), and contacting patients before appointments if there are any insurance/authorization issues. Serves as a valuable resource to patients, providing them with pertinent information on their insurance coverage.

Essential Job Functions

• Responsible for any and all authorization requests including research, follow up and resolve within a timely manner and accurately enter as well as document the correct insurance information and activity into the patient’s chart
• Effectively communicates via phone with customers, employees, and vendors using exemplary customer service skills
• Responsible for attention to detail, organization, cleanliness, strong multitasking, and time management skills
• Properly complete timesheet daily
• Regular, consistent, and predictable attendance per PRO-PT's attendance and punctuality policy
• All other duties as assigned IE: Assists in the training of department staff, ordering supplies, etc.

Education and Experience

• High School Diploma or Equivalency
• Minimum of one (1) year of insurance verification experience
• Post-high school courses in insurance billing, data processing, and medical terminology (or willing to learn) preferred

Physical Requirements

• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to communicate clearly to patients and insurance over the telephone.
• Vision: Visual acuity adequate to perform job duties, including visual examination of patients and reading information from printed sources and computer screens.
• Other: Requires occasional lifting and carrying of items weighing up to 35 pounds unassisted. Requires bending, reaching, standing, walking, and sitting (extended periods of time).

Working Conditions: Normal working conditions absent extreme factors.

Note: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive listing of all responsibilities, duties, and skills required.

Precision Rehabilitation & Orthopedic Physical Therapy