Insurance Authorization Specialist

We're looking for an Insurance Authorization Specialist to join our growing team in a remote capacity. The ideal candidate has strong physical therapy insurance experience and understands authorization workflows deeply.

Requirements

• Verify commercial insurance benefits and Medicare coverage.
• Handle PIP (motor vehicle accident) case verification and follow-up.
• Obtain pre-certifications and authorizations for physical therapy, chiropractic services, MRIs, and durable medical equipment.
• Review denial reasons carefully and determine corrective action.
• Prepare and submit appeals when necessary.
• Monitor visit counts and ensure authorizations are triggered at appropriate milestones.
• Communicate with insurance adjusters and, when necessary, attorneys.
• Maintain detailed and accurate documentation within the EHR system.
• Track authorization status and follow up proactively.
• Support reporting and monitoring of denials and revenue-impacting trends.

Benefits

• Paid time off
• 401k matching