Medical Receptionist / Insurance Authorization Specialist

We are seeking a detail-oriented and organized Insurance Authorization Specialist to join our team. This role is responsible for obtaining prior authorizations, verifying insurance benefits, and ensuring patients receive timely approval for therapy services. The ideal candidate has strong communication skills, insurance knowledge, and the ability to work efficiently in a fast-paced healthcare environment. This position will also be cross-trained in all front office operations and expected to work collaboratively to support daily clinic operations.

Responsibilities (including but not limited to):

• Obtain prior authorizations and referrals for patient services as required by insurance carriers


• Verify patient insurance benefits, coverage, and eligibility


• Communicate with insurance companies regarding authorization status, requirements, and approvals


• Track and maintain authorization records to ensure visits remain approved and compliant with payer requirements


• Monitor authorization limits and request extensions when needed


• Resolve authorization-related issues that may delay patient care or billing


• Maintain accurate documentation within the clinic’s EMR or practice management system
  


• Assist with front desk operations such as scheduling patient appointments, answering phones, greeting patients, etc., to help ensure smooth daily clinic flow


• Work collaboratively with therapists and management to support overall clinic efficiency


• Provide excellent customer service to patients and team members

Requirements:

• Prior experience in medical insurance verification, authorizations, or medical billing preferred


• Knowledge of insurance plans, referrals, and authorization processes


• Experience with EMR or healthcare practice management systems preferred


• Strong attention to detail and organizational skills


• Ability to multitask in a fast-paced healthcare environment


• Excellent communication and teamwork skills


• Proficiency with computers and common office software


• Bilingual

Preferred Qualifications:

• Experience in physical therapy, outpatient healthcare, or rehabilitation services


• Familiarity with Medicare, Medicaid, and commercial insurance plans
  

Benefits:

• Medical Insurance


• Dental Insurance


• Vision Insurance


• Life Insurance


• 401(k) Retirement Plan


• Paid Time Off (PTO)


• Paid Holidays