Authorization Specialist Job at US Physical Therapy, Twin Falls, ID

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  • US Physical Therapy
  • Twin Falls, ID

Job Description

  • Verify insurance benefits and determine authorization requirements prior to patient visits
  • Submit track and follow up on all prior authorization requests across multiple payers
  • Proactively resolve pending or denied authorizations to prevent delays in care
  • Communicate authorization status clearly with front office teams and clinicians
  • Maintain accurate up-to-date documentation in the EMR 
  • Monitor schedules to ensure all visits are authorized in advance when required
  • Work directly with insurance companies via phone and payer portals (e.g. Availity)
  • Collaborate cross-functionally to support patient access and clinic performance
  • Identify trends in denials or delays and escalate opportunities for improvement
  • Ensure compliance with payer guidelines and company policies

Qualifications :

  • 12 years of experience in insurance verification prior authorizations or medical office operations
  • Strong understanding of insurance plans (commercial Medicare Medicaid)
  • Experience managing prior authorizations from submission through approval
  • Familiarity with EMR systems and healthcare workflows
  • High attention to detail and accuracy
  • Strong organizational and time management skills
  • Clear professional communication skills
  • Problem-solving mindset with the ability to navigate denials and delays
  • High level of accountability and follow-through

Additional Information :

Benefits:

  • Comprehensive medical insurance plans - HSA and PPO Options
  • Dental and vision insurance
  • Paid holidays & time off
  • 401K
  • Integrated mentorship program
  • Customized EMR
  • Hybrid work schedule

Remote Work :

No

Employment Type :

Full-time

Job Tags

Full time, Work at office, Remote work

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