Insurance Verification and Authorization Specialist - Therapy

Job Summary:

We are seeking a dedicated Insurance Verification and Authorization Specialist to join our Therapy Clinic. This role is responsible for coordinating insurance verification, prior authorizations, and pre-certifications to support timely patient care and smooth departmental operations. The ideal candidate is highly organized, dependable, customer-focused, and experienced in healthcare insurance processes. This position requires strong communication skills, attention to detail, and the ability to manage multiple priorities in a fast-paced clinical environment.

Responsibilities:

• Verify patient insurance eligibility and benefits for therapy and therapy DME services.
• Obtain prior authorizations and precertifications from insurance providers.
• Coordinate with therapists, physicians, and scheduling staff regarding patient authorization requirements.
• Maintain accurate and timely documentation within electronic medical record (EMR/EHR) systems and other databases.
• Manage incoming phone calls, emails, and insurancerelated inquiries from patients, providers, and insurance carriers.
• Review and track authorization status to ensure continuity of patient care.
• Ensure communication with receptionist about collecting and documenting copayments, deductibles, coinsurance, and any patient balances as needed.
• Communicate effectively with patients regarding insurance coverage, authorizations, and financial responsibilities.
• Work collaboratively with clinical and administrative staff to resolve insurance or scheduling issues promptly.
• Ensure compliance with HIPAA and company policies regarding patient information and documentation.

Skills and Abilities:

• Excellent customer service and patient communication skills.
• Strong attention to detail and organizational abilities.
• Ability to prioritize tasks in a fastpaced environment.
• Professional verbal and written communication skills.
• Dependable attendance and punctuality.
• Ability to maintain confidentiality and professionalism at all times.
• Teamoriented mindset with the ability to collaborate across departments.

Education and Experience:

Required

• High school diploma or equivalent.
• Minimum of 1 year of experience in insurance verification, authorizations, medical scheduling, or related healthcare administrative work.
• Working knowledge of medical insurance plans, authorization procedures, and healthcare terminology.
• Strong computer and data entry skills.

Preferred

• Experience in a therapy, rehabilitation, or outpatient healthcare setting.
• Familiarity with Electronic Health Record (EHR/EMR) systems.
• Knowledge of insurance billing processes and patient financial responsibilities.

Physical Requirements:

• Prolonged periods of sitting and working on a computer.

Benefits:

• Health, dental, vision, disability, and life insurance, 401(k) with company match, PTO, paid holidays, other employee perks

This is an in-person position in Thibodaux, LA. This is a full-time, non-exempt position working Monday-Friday.

OrthoLA is an equal opportunity employer.

About ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA LLC

OrthoLA is committed to providing effective and innovative orthopaedic care with the highest level of integrity, compassion, and professionalism. We are proud to have been the first orthopaedic practice in the area to provide the communities we serve with board certified, fellowship trained hand surgeons and a joint replacement and reconstruction specialist. With 9 of the leading orthopaedic surgeons in Louisiana, orthoLA focuses on conditions affecting the hand, wrist, elbow, shoulder, knee, hip, foot, ankle, and spine. OrthoLA specializes in treating individuals and athletes of all ages with musculoskeletal injuries that affect their ability to function. Whether the injury occurred in the workplace, on the playing field, or anywhere in between, the physicians at orthoLA are committed to helping our patients get their life back!