Prior Authorization

About the Role

We are seeking an experienced Prior Authorization & Eligibility/Benefits Specialist with a strong background in Revenue Cycle Management (RCM) for Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) practices.

This role works directly with outpatient therapy clinics and supports front-end and select mid-cycle RCM functions that are critical to patient access, clean claims, and cash flow. The ideal candidate is trustworthy, detail-oriented, flexible, and hardworking, with the ability to adapt to changing priorities in a fully remote environment.

Key Responsibilities

• Verify insurance eligibility and benefits for PT, OT, and SLP services
• Obtain, manage, and track prior authorizations, including:
• Understanding payer-specific requirements and visit limits
• Submitting accurate and timely authorization requests
• Monitoring approvals, denials, extensions, and expirations
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