Benefits and Authorization Specialist

The Benefits and Authorization Specialist plays a vital role in supporting patient access to care by verifying insurance coverage, securing necessary pre-authorizations, and communicating financial responsibilities. This individual ensures a seamless experience for both patients and providers by removing barriers to care and facilitating efficient administrative workflows. Additionally, this hybrid role includes on-site front desk coverage as an Intake Coordinator, as needed, to support clinic operations during scheduled time off or unexpected staff absences.

Key Responsibilities

Insurance & Authorization Coordination

• Verify and document patient insurance eligibility and coverage for all services.
• Submit pre-authorizations for visits and services in a timely and accurate manner.
• Communicate patient financial responsibility and assist in identifying financial support options when applicable.
• Support mitigation of denied services by coordinating follow-up steps such as appeals and provider reviews.
• Maintain up-to-date knowledge of payer guidelines and organizational procedures related to service authorization.

Front Desk Coverage (Intake Coordinator)

• Provide in-person administrative support at clinic locations during absences of front desk staff.
• Greet and check in patients, verify basic information, and assist with intake paperwork.
• Maintain a professional and welcoming environment for patients and visitors.

Operational & Team Support

• Work on location with team at Wesley Heights location several days a week
• Collaborate effectively with clinical and administrative staff to ensure timely service delivery.
• Perform other duties as assigned in alignment with Architech Sports & Physical Therapy’s mission and values.

Qualities We're looking for

• Knowledge of insurance terminology, benefit structures, and pre-authorization processes
• Familiarity with medical terminology and clinical workflows
• Strong organizational and time management skills
• Ability to manage multiple tasks and prioritize in a fast-paced environment
• Critical thinking and problem-solving abilities
• Detail-oriented with a commitment to accuracy
• Patient-focused, team-oriented, and professional in demeanor

Qualifications

• High school diploma or equivalent required
• 2–3 years of experience in insurance verification and pre-authorization (physical therapy setting preferred)
• Prior experience with WebPT or other EMR systems is helpful, but not required

What We Offer:

• Medical, Dental & Vision along with additional benefits such as accident, short term disability, critical illness
• 401(k) plan
• PTO