The purpose of the position is to coordinate the duties of an Authorization Specialist and ensure complete, accurate, and timely authorization submissions for patient all patient care needs (both private clinic and hospital clinic). Assist Authorization Manager in creating and implementing training programs for all new team members. Conduct monthly audits on authorizations completed by said team members. Required to possess exceptional organizational, communication, computer, leadership, training, and time management skills. This position requires simple computer data entry and use of Microsoft Office Products.

Essential Functions

• Obtains necessary information to submit authorizations for new and continue of care patient needs.
• Contacts insurance companies to verify coverage, limits, etc. as directed by policy.
• Communicates and works effectively with colleagues from other departments
• Become proficient in the use of ICD-10 and CPT codes
• Understand Payor expectations for billing, reimbursement, credentialing, audit.
• Ability to supervise teams of up to 6 members in relation to their job duties related to insurance, verification and reimbursement as determined by region.
• Prepares daily productivity report and submits it to Authorization Manager.
• Assists Authorization Manager in the preparation of policies and procedures manuals for authorization of verified benefits.
• Assists Authorization Manager in creating training documents for all new and existing team members.
• Assists in training for all new and existing team members.
• Conducts monthly audits on authorizations performed by team members to ensure accuracy.
• Performs additional duties deemed necessary to the position and its function.
• Submits all timecards bi-weekly for direct reports.

Required Skills & Abilities

• Ability to type 60 words per minute preferred.
• Strong interpersonal, oral (includes telephone skills) and written communication skills.
• Good organizational skills and an ability to prioritize to meet deadlines.
• Complete understanding of medical reimbursement and terminology.
• Ability to work with disabled individuals.
• Working knowledge of all standard office equipment.
• Working Knowledge of insurance and billing procedures.

Required Credentials

• High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting.
• One to two years of medical billing and administrative experience.
• One year of supervisor experience.

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Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. 

Let’s go further together and transform care. Join the #PTSLife today! 

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