Prior Authorization Specialist

6 days ago

Portsmouth, New Hampshire, United States Sport & Spine Physical Therapy, Inc Full time $40,000 - $60,000 per year

Company Overview:

Sport & Spine Physical Therapy, Inc. is dedicated to providing highly individualized patient treatment in a caring environment. Our mission is to relieve pain, improve movement, and restore function for our patients while also focusing on preventative healthcare to minimize the risk of re-injury. We have an amazing work culture and have been locally owned for 21 years. Come be a part of a team that is known for excellence in every sense of the word.

Summary:

Sport and Spine Physical Therapy is seeking an experienced Medical Authorization Specialist to join our team on a part-time basis, with potential for full-time employment. In this role, you will be responsible for managing insurance authorizations, including obtaining and tracking prior authorizations for patient care. While experience in physical therapy is not required, prior experience in medical authorization processes is essential (will consider experience in medical administration operations as well).

Responsibilities:

  • Obtain and track insurance authorizations for patient care, ensuring timely and accurate processing.
  • Communicate with insurance companies and payers to verify benefits and resolve any authorization issues.
  • Collaborate with clinical and administrative staff to ensure seamless patient scheduling and care coordination.
  • Maintain accurate records of authorization requests, approvals, and denials.
  • Stay current on payer requirements and authorization processes specific to the New England region.
  • Assist in identifying opportunities to improve authorization workflows and reduce administrative burden.

Requirements:

  • Proven experience in medical authorizations; will also consider prior experience as healthcare administrative role. (not limited to physical therapy).
  • Familiarity with insurance payers and medical authorization processes in the New England region (New Hampshire knowledge is a plus but not required).
  • Strong organizational skills and attention to detail.
  • Ability to work both independently and collaboratively as part of a team.
  • Excellent written and verbal communication skills.

Schedule & Flexibility:

  • Part-time, 25 hours per week.
  • Initial training will be scheduled during afternoon hours.
  • Regular work hours are expected to be in the morning, though scheduling flexibility can be discussed.
  • No weekend shifts are required.

Compensation & Benefits:

  • This part-time position does not include benefits.
  • If the position transitions to full-time (40 hours/week), a comprehensive benefits package will be offered.

Job Type: Part-time

Pay: $ $21.00 per hour

Expected hours: No less than 25 per week

Application Question(s):

  • Have you previously obtained and tracked insurance authorizations for patient care, and can you describe your process for ensuring timely and accurate approvals?
  • What types of insurance payers (commercial, Medicare, Medicaid, etc.) have you worked with, and how familiar are you with their specific authorization requirements—especially in the New England region?
  • Can you provide examples of how you've communicated with insurance companies to resolve authorization issues, denied claims, or delays in the past?

Ability to Commute:

  • Portsmouth, NH Required)

Ability to Relocate:

  • Portsmouth, NH 03801: Relocate before starting work (Required)

Work Location: In person

  • Reimbursement Specialist II

    1 week ago

    Portsmouth, New Hampshire, United States Novocure Full time $60,000 - $90,000 per year

    TheReimbursement Specialist IIis responsible for executing core reimbursement processes to confirm medical necessity and secure accurate payments, thereby minimizing the financial burden for patients. This role requires independently managing a personal workload, including performing in-depth benefit investigations, conducting timely claims follow-up,...

  • Exercise Specialist

    1 week ago

    Portsmouth, New Hampshire, United States Bon Secours Mercy Health Full time $45,000 - $70,000 per year

    Thank you for considering a career at Bon SecoursScheduled Weekly Hours:0.01Work Shift: Days (United States of America)Bon SecoursIntro paragraphAs a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a...

  • Packaging Specialist

    1 week ago

    Portsmouth, New Hampshire, United States Verano Full time $32,000 - $64,000 per year

    Job Summary $16/hour.  Full-Time.The Packaging Specialist provides on-site support assembling and packaging products manufactured within a cannabis cultivation facility. As a Packaging Specialist, you are responsible accurately weighing, packing, and labeling cannabis flower, infused edibles, and cannabis extracts for shipment to retail dispensaries. The...

  • Sourcing & Credentialing Specialist – IT Recruiting

    2 days ago

    Portsmouth, New Hampshire, United States ProSearch Full time

    About Us and Why We're HiringProSearch is Northern New England's premier recruiting and staffing firm. For more than 30 years, we've been connecting top talent with leading employers across the region. Our reputation is built on trusted relationships, exceptional service, and results. As we continue to grow, we're looking to add a Sourcing & Credentialing...

  • Behavioral Health Specialist

    1 day ago

    Portsmouth, New Hampshire, United States Bon Secours Mercy Health Full time

    Thank you for considering a career at Bon SecoursScheduled Weekly Hours:36Work Shift: Days/Evenings (United States of America) Behavioral Health SpecialistMaryview Medical Center in Portsmouth, VirginiaFull Time, Nights (7AM - 7PM; rotating weekends and holidays required) Job Summary:  The Behavioral Health Specialist provides direct patient care under...

  • Calibration Specialist, Level 2

    4 days ago

    Portsmouth, New Hampshire, United States Lonza Full time

    United States, Portsmouth (New Hampshire)Today, Lonza is a global leader in life sciences operating across five continents. While we work in science, there's no magic formula to how we do it. Our greatest scientific solution is talented people working together, devising ideas that help businesses to help people. In exchange, we let our people own their...

  • Medical Front Office

    1 week ago

    Portsmouth, New Hampshire, United States Saco Bay PT Full time $30,000 - $42,000 per year

    OverviewPosition: Patient Service SpecialistLocation: Portsmouth, NHType of Employment: FulltimeSchedule: Monday/Wednesday/Friday (7am to 4pm) & Tuesday/Thursday (9am to 6pm)Compensation: Starting at $19/hour (Pending experience) When patients enter our outpatient physical therapy center in Portsmouth, we want them to have an exceptional experience –...

  • Senior Affera EP Mapping Specialist Cardiac Ablation Solutions-

    1 week ago

    Portsmouth, New Hampshire, United States Medtronic Full time $60,000 - $140,000 per year

    We anticipate the application window for this opening will close on - 31 Oct 2025 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.A Day in the LifeBring your talents...

  • Vascular Technologist

    4 days ago

    Portsmouth, New Hampshire, United States Bon Secours Full time

    With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.Bon...

  • Navy Qualified Validator

    1 week ago

    Portsmouth, New Hampshire, United States Foxhole Technology, Inc. Full time $120,000 - $180,000 per year

    OverviewJob Title: Navy Qualified Validator (Information Security Analyst)Location: Portsmouth, VA (Onsite)Clearance: Active DoD Top SecretStart: Based on Contract AwardDiscover an exciting career at Foxhole Technology, an innovative IT Engineering firm founded in 2007. As leaders in cybersecurity, DEVSEC OPS, Agile Development, Cloud and IT support for...