Clinician owned physical therapy clinic searching for an Authorization/Verification specialist for an expanding outpatient clinic. This person will be stationed at our Bowie clinic. Looking for candidate who has extensive experience doing insurance authorizations and verifications. Proficiency in Raintree would be a bonus, but not required. Benefits including PTO/Holiday pay/ health if needed/ Disability/ retirement for full time employees.

At 4 Oaks, our employees are our family. Join us!

Hours: 30+ hours/Full time- 2 Evenings required.

Essential Functions:

· Maintain compliant access and proficiency using insurance and related websites and portals

· Monitor and complete Tasks in WebPT in an accurate and timely manner and according to established guidelines

· Participate in and attend scheduled staff meetings

· Conduct self in accordance with the company’s employee manual, maintaining strictest confidentiality and discretion, and adhering to all HIPAA guidelines and regulations

· Perform all other tasks as assigned by the OC, RAD and/or other members of company’s management team

· Answer phones, schedule and register patients and manage the patient flow

· Patient Collection - Collect copays and/or other outstanding balances at each patient visit

· Insurance Eligibility & Verification – On a daily basis, request and follow up on insurance eligibility and verifications as needed.

· Authorizations – On a daily basis, request and follow up on authorizations and re-authorizations for Commercial, Workers Compensation, and Motor Vehicle Accident (MVA) patients, using the appropriate portals and/or telephone calls, supporting documents, and Raintree processes as needed.

· Scanning – Scan all necessary documents and paperwork to the Raintree system and other folders as required.

· Act as a liaison with referring doctors, nurse case managers, and insurance companies

Knowledge, Skills, and Abilities

· Develop a thorough understanding of medical billing, insurance regulations, medical terminology, insurance benefits and authorizations

· Develop a working knowledge of CPT and ICD10 codes and insurance regulations

· Develop proficiency using Raintree

· Develop a working knowledge of the company’s policies and procedures

· Consistently represent the mission, policies, and values of the company

· Skill in establishing and maintaining effective working relationships with other employees, patients, payers, providers, organizations, and the public

· Detail oriented and tolerant of frequent interruptions from patients and staff

· Sufficient mathematical and computer skills, especially Microsoft Office (Excel, Word)

· Strong verbal and written communication skills, with the ability to clearly communicate with others at all levels

· Organized with the ability to effectively recognize priorities, handle multiple deadlines, exercise good judgment, and manage time efficiently based on established policies and procedures

Ability to provide dependable, on-time attendance

Job Type: Full-time

Benefits:

• Health insurance
• Paid time off
• Retirement plan

Schedule:

• 8 hour shift
• No weekends

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 3 years (Required)

Work Location: In person

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