Authorization Specialist

Wright Physical Therapy•Twin Falls, ID

13h•Hybrid

About The Position

Verify insurance benefits and determine authorization requirements prior to patient visits. Submit, track, and follow up on all prior authorization requests across multiple payers. Proactively resolve pending or denied authorizations to prevent delays in care. Communicate authorization status clearly with front office teams and clinicians. Maintain accurate, up-to-date documentation in the EMR. Monitor schedules to ensure all visits are authorized in advance when required. Work directly with insurance companies via phone and payer portals (e.g., Availity). Collaborate cross-functionally to support patient access and clinic performance. Identify trends in denials or delays and escalate opportunities for improvement. Ensure compliance with payer guidelines and company policies.

Requirements

1–2+ years of experience in insurance verification, prior authorizations, or medical office operations
Strong understanding of insurance plans (commercial, Medicare, Medicaid)
Experience managing prior authorizations from submission through approval
Familiarity with EMR systems and healthcare workflows
High attention to detail and accuracy
Strong organizational and time management skills
Clear, professional communication skills
Problem-solving mindset with the ability to navigate denials and delays
High level of accountability and follow-through

Responsibilities

Verify insurance benefits and determine authorization requirements prior to patient visits
Submit, track, and follow up on all prior authorization requests across multiple payers
Proactively resolve pending or denied authorizations to prevent delays in care
Communicate authorization status clearly with front office teams and clinicians
Maintain accurate, up-to-date documentation in the EMR
Monitor schedules to ensure all visits are authorized in advance when required
Work directly with insurance companies via phone and payer portals (e.g., Availity)
Collaborate cross-functionally to support patient access and clinic performance
Identify trends in denials or delays and escalate opportunities for improvement
Ensure compliance with payer guidelines and company policies