Authorization Specialist

3 weeks ago


Addison, Texas, United States Direct Orthopedic Care Full time
Job Overview

We are seeking an experienced Authorization Specialist to join our team at Direct Orthopedic Care. As a key member of our clinical operations team, you will play a vital role in ensuring seamless communication between patients, providers, and payers.

Key Responsibilities:

  • Create and maintain strong relationships with DOC guests and clinic staff.
  • Obtain authorization and benefit verification for new Physical Therapy guests.
  • Ensure accurate and timely CPT & ICD-10 coding for billing purposes.
  • Lead efforts to resolve prior authorization denials and find solutions for efficient workflow management.
  • Maintain comprehensive knowledge of PT Authorization guidelines and HIPAA regulations.

Requirements:

  • Bachelor's degree in Healthcare Administration or related field.
  • Minimum 2 years of experience in medical billing, authorization, or a related field.
  • Strong understanding of CPT & ICD-10 codes and health insurance billing processes.
  • Excellent communication and organizational skills.

Benefits:

  • Competitive salary range: $65,000 - $85,000 per year, depending on experience.
  • Comprehensive benefits package, including medical, dental, and vision insurance.
  • Retirement plan with company match.
  • Generous paid time off and holidays.


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