Insurance Authorization Specialist - Physical Therpay

Description

Doctors of Physical Therapy is seeking a full-time Insurance Authorization Specialist. We are looking for a reliable and professional member of our team that is looking for longevity with a growing company.

THIS IS NOT A REMOTE POSITION.

The ideal candidate should have a minimum of 1 year experience with medical authorizations and have good knowledge of coding and medical terminology.

Essential Functions:

• Review insurance claims and determine the necessary settlement as needed
• File documents and gather the required information for further investigation and analysis as needed
• Coordinate with the insurance companies and ensure that the correct communications are being sent out for reference
• Demonstrate knowledge of HIPAA by appropriately managing patient confidentiality.
• Build authorization, match ICD-10 codes with their procedure codes
• Obtain verification of insurance coverage and authorizations for clinical visits for patients
• Escalate concerns to the supervisor for immediate resolution
• Communicate on audit findings to appropriate staff members

Requirements

• High School Graduate; and a minimum of 1 year billing experience, with a good understanding of coding and medical terminology
• Proficiency in Microsoft Office software (Word, Excel, and Outlook)
• Excellent written & verbal communication skills
• Maintain high levels of organization while being focused on details
• Capable of a sense of urgency in all responsibilities
• Ability to prioritize tasks
• Capable of working independently
• Reliability and longevity is a must