The Verification/Authorization Specialist is responsible for verifying insurance coverage and obtaining pre-authorizations for therapy services. They also manage patient eligibility confirmation, document communications, and explain coverage details to patients and providers.
Job Details: Job Location: FP Corporate Headquarters - Knoxville, TN, Position Type: Full Time, Salary Range: Undisclosed, Verification/Authorization Specialist – Full-Time
Work Location: On-Site in Knoxville, TN or Remote
Join Functional Pathways – Where Your Expertise Makes an Impact!
Functional Pathways, a therapist-owned organization with over 30 years of experience in senior care, is looking for an experienced Verification/Authorization Specialist to join our corporate team. This full-time role ensures seamless insurance verification and authorization for therapy services.
Why Join Us?
Stability & Growth – Be part of a well-established company dedicated to excellence in senior care.
Supportive Team Environment – Work alongside professionals who value collaboration and expertise.
Impactful Work – Play a crucial role in helping patients access the therapy services they need.
What You’ll Do:
Verify insurance coverage and obtain pre-authorizations for therapy services.
Contact insurance carriers to confirm patient eligibility and benefit details.
Accurately document communication and update patient records.
Explain coverage information to patients and providers as needed.
Ensure proper use of CPT, HCPCS, and ICD-10 coding when applicable.
Qualifications: Qualifications:
✔ High school diploma or GED required.
✔ Prior experience in medical billing, insurance verification, or authorization preferred.
✔ Strong knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding.✔ Ability to work independently, manage time, and set priorities✔ Proficient in Excel, Word, and Microsoft Office✔ Excellent communication skills and the ability to work independently.✔ Detail-oriented with a commitment to accuracy and efficiency.✔ Other duties as assigned
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