SportsMed Physical Therapy is seeking a Pre-Authorization Specialist. This position will start on-site in Glen Rock NJ and will transition to a hybrid-remote role with 1 day in-office per week after 2-3 months of on-site training. We are one of New Jersey's leading providers of physical rehabilitation services. With multiple locations throughout the state, we can offer you a fast paced and challenging career opportunity. If you are passionate about healthcare, motivated and want to make a difference, SportsMed is the place for you.
The Pre-Authorization Specialist is responsible for identifying prior authorization requirements by insurance/payer and processes and completes the authorizations for scheduled visits. Ensures patient demographic, insurance information and verification has been established and documented. Documents all pending, approved and denied pre-authorizations within an EMR (WebPT) system. Communicates effectively with billers and front desk staff if services are approved or denied to reduce denials and facilities peer to peer review when needed.
\n RequirementsMinimum 1 year experience in pre-authorization and insurance verificationExperience with PIP and Workers compensation preferredStrong verbal and written communication skillsAdept to learning and using multiple software programsDemonstrated ability to organize and prioritize workStrong attention to detail and follow up with minimal direction and supervisionAbility to work and collaborate with front desk and billing personnelAbility to handle large volume of pre-auths and multi-task concurrentlyAbility to navigate multiple payer websitesAble to work independently and apply critical thinking skills for various payersKnowledge of Excel Spreadsheets BenefitsExcellent career growth opportunityCompetitive pay based on experienceMedical benefits, life and disability insurance, 401k, PTO, sick time, paid holidaysPay Rate: $17.00 - $21.00 per hour
\n$17 - $21 an hour
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