Insurance Verification and Authorization Specialist - Therapy

Job Summary We are seeking a dedicated Insurance Verification and Authorization Specialist to join our Therapy Clinic. This role is responsible for coordinating insurance verification, prior authorizations, and pre-certifications to support timely patient care and smooth departmental operations. The ideal candidate is highly organized, dependable, customer-focused, and experienced in healthcare insurance processes. This position requires strong communication skills, attention to detail, and the ability to manage multiple priorities in a fast-paced clinical environment. Responsibilities Verify patient insurance eligibility and benefits for therapy and therapy DME services. Obtain prior authorizations and precertifications from insurance providers. Coordinate with therapists, physicians, and scheduling staff regarding patient authorization requirements. Maintain accurate and timely documentation within electronic medical record (EMR/EHR) systems and other databases. Manage incoming phone calls, emails, and insurancerelated inquiries from patients, providers, and insurance carriers. Review and track authorization status to ensure continuity of patient care. Ensure communication with receptionist about collecting and documenting copayments, deductibles, coinsurance, and any patient balances as needed. Communicate effectively with patients regarding insurance coverage, authorizations, and financial responsibilities. Work collaboratively with clinical and administrative staff to resolve insurance or scheduling issues promptly. Ensure compliance with HIPAA and company policies regarding patient information and documentation. Skills and Abilities Excellent customer service and patient communication skills. Strong attention to detail and organizational abilities. Ability to prioritize tasks in a fastpaced environment. Professional verbal and written communication skills. Dependable attendance and punctuality. Ability to maintain confidentiality and professionalism at all times. Teamoriented mindset with the ability to collaborate across departments. Education and Experience Required High school diploma or equivalent. Minimum of 1 year of experience in insurance verification, authorizations, medical scheduling, or related healthcare administrative work. Working knowledge of medical insurance plans, authorization procedures, and healthcare terminology. Strong computer and data entry skills. Preferred Experience in a therapy, rehabilitation, or outpatient healthcare setting. Familiarity with Electronic Health Record (EHR/EMR) systems. Knowledge of insurance billing processes and patient financial responsibilities. Physical Requirements Prolonged periods of sitting and working on a computer. Benefits Health, dental, vision, disability, and life insurance, 401(k) with company match, PTO, paid holidays, other employee perks This is an in-person position in Thibodaux, LA. This is a full-time, non-exempt position working Monday-Friday. OrthoLA is an equal opportunity employer. #J-18808-Ljbffr