Authorizations Specialist

Published September 18th, 2025

Pay: $23-26/hour

Schedule: Monday through Friday 8:30AM-5:00PM

Requirements: 

  • 1+ year of insurance verification required
  • 1+ year of patient billing management software experience preferred
  • Experience with EMR (office utilizes eClinicalWorks, NaviNet, Helio)
  • Knowledge of medical terminology
  • Knowledge of ICD and CPT guidelines
  • High school diploma or equivalent

Responsibilities:

  • Obtain authorizations for all diagnostic imaging, orthotics, trigger point injections, EMG studies, and hyaluronic acid injections directly or by submitting documentation to facility or vender – may provide authorizations for other areas, as needed, as directed by manager
  • Contact patients as necessary to advise on scheduling
  • Obtain injection medication from pharmacy for all commercial insurances and physicians in practice
  • Scrub and submit all physical therapy claims along with all supporting documentation
  • Copay allocation of physical therapy claims
  • Submit physical therapy authorization requests as backup as needed
  • Ensure that the verification of patients’ insurance benefits is completed and updated
  • Notify patients of deductibles, authorization approvals and co-insurance due
  • Regularly call insurance companies to follow up on patient status and claims
  • Explore other payment options with patients when needed
  • Keep sensitive patient and company information confidential at all time
  • Contact patients to obtain any outstanding information
  • Learn and understand all aspects of Revenue Cycle responsibilities and participate in cross-training session
  • Coordinate authorizations for patients with PIP/workers compensation claims
  • Provide administrative support to workers compensation department
  • Liaison to attorneys regarding patient status and claim
  • Cross train to support and perform all aspects of back office
  • Cover other assignments when requested by management

#ZIP

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