Authorization & Insurance Verification Specialist

Join a team that puts people first and helps you rise

At Peak Performance Physical Therapy, your work matters to your patients, your team, and your future. We’re committed to helping you reach your highest potential through mentorship, collaboration, and a culture built on compassion and excellence.

Who We are

A People-First Culture

Our story began with a simple belief: when people feel supported, they thrive. As part of a family of clinics dedicated to professional growth, clinical excellence, and real human connection, we foster an environment where you’re valued, encouraged, and empowered to do meaningful work daily.

Our Purpose

Empowering lives through evidence-informed care

Our mission is to help people move freely, feel better, and live fully. Every member of our team contributes to breaking down barriers to care through prevention, education, and long-term recovery strategies. If you’re passionate about making a real difference, you’ll feel at home here.

About The Role

Department: Billing

Status: Full-Time

Location: Lansing / Billing Department

Company: Peak Performance Physical Therapy

Peak Performance Physical Therapy is looking for a detail-oriented, dependable, and patient-focused team member to join our Billing Department as a Full-Time Authorization & Insurance Verification Specialist.

This role is an important part of the patient experience and overall revenue cycle process. The Authorization & Insurance Verification Specialist helps ensure patients are set up for care with accurate insurance information, timely authorizations, and clear communication between departments. This position supports our clinics, providers, intake team, and billing team by helping reduce delays in care and keeping patient accounts accurate from the start.

Position Summary

The Authorization & Insurance Verification Specialist is responsible for verifying patient insurance benefits, obtaining and tracking authorizations, maintaining accurate documentation, and communicating insurance-related information to the appropriate team members. This role requires strong attention to detail, follow-through, organization, and the ability to work collaboratively in a fast-paced healthcare environment.

What You’ll Do

Responsibilities May Include, But Are Not Limited To

• Verify insurance eligibility and benefits for new evaluations, current patients, and upcoming appointments
• Create and maintain accurate insurance benefit information in the patient record
• Obtain required authorizations for physical therapy services
• Track authorization status, visit limits, expiration dates, and payer requirements
• Communicate authorization updates, benefit details, and potential barriers to the appropriate clinic or billing team member
• Review schedules to ensure patients have the required insurance verification and authorization in place before treatment
• Monitor authorization work queues, fax queues, payer portals, and related communication channels
• Follow up with insurance companies, providers, and referral sources as needed
• Document all insurance and authorization activity clearly and accurately
• Support denial prevention by identifying missing or incorrect insurance information before claims are submitted
• Assist with provider credentialing and recredentialing processes with commercial insurance carriers, government payers, and other contracted networks
• Maintain and track provider credentialing records, applications, expirations, CAQH profiles, and supporting documentation
• Support company and clinic credentialing needs, including payer enrollments, location updates, and ongoing participation requirements
• Communicate with insurance payers regarding credentialing status, application follow-up, and enrollment requirements
• Maintain accurate credentialing files and ensure timely submission of required documentation
• Assist with billing department projects, payer updates, and process improvements as needed
• Maintain patient confidentiality and follow HIPAA standards at all times
  
  

Qualifications

• Previous experience in healthcare billing, insurance verification, authorizations, credentialing, patient accounts, or front office healthcare support preferred
• Familiarity with insurance terminology, benefits, referrals, authorizations, deductibles, copays, coinsurance, visit limits, and payer enrollment processes preferred
• Experience with provider credentialing, CAQH maintenance, payer portals, and insurance enrollment systems preferred
• Experience with EMR systems, payer portals, fax queues, and Microsoft Office/Excel helpful
• Strong written and verbal communication skills
• Ability to maintain accuracy while working in a busy environment
  
  

What Makes Someone Successful in This Role

The right fit for this position is someone who is:

• Highly organized and detail-oriented
• Comfortable working with insurance information, payer portals, credentialing systems, and documentation requirements
• Able to manage multiple tasks, deadlines, and follow-up items throughout the day
• Strong in follow-through and communication
• Comfortable asking questions and problem-solving when information is unclear
• Team-focused and willing to support both the billing department and clinic operations
• Patient-centered, even when working behind the scenes
• Reliable, professional, and consistent