Benefits and Authorization Specialist

Architech Sports and Physical Therapy•Charlotte, NC

8d•Hybrid

About The Position

The Benefits and Authorization Specialist plays a vital role in supporting patient access to care by verifying insurance coverage, securing necessary pre-authorizations, and communicating financial responsibilities. This individual ensures a seamless experience for both patients and providers by removing barriers to care and facilitating efficient administrative workflows. Additionally, this hybrid role includes on-site front desk coverage as an Intake Coordinator, as needed, to support clinic operations during scheduled time off or unexpected staff absences.

Requirements

Knowledge of insurance terminology, benefit structures, and pre-authorization processes
Familiarity with medical terminology and clinical workflows
Strong organizational and time management skills
Ability to manage multiple tasks and prioritize in a fast-paced environment
Critical thinking and problem-solving abilities
Detail-oriented with a commitment to accuracy
Patient-focused, team-oriented, and professional in demeanor
High school diploma or equivalent required
2–3 years of experience in insurance verification and pre-authorization (physical therapy setting preferred)

Nice To Haves

Prior experience with WebPT or other EMR systems is helpful, but not required

Responsibilities

Verify and document patient insurance eligibility and coverage for all services.
Submit pre-authorizations for visits and services in a timely and accurate manner.
Communicate patient financial responsibility and assist in identifying financial support options when applicable.
Support mitigation of denied services by coordinating follow-up steps such as appeals and provider reviews.
Maintain up-to-date knowledge of payer guidelines and organizational procedures related to service authorization.
Provide in-person administrative support at clinic locations during absences of front desk staff.
Greet and check in patients, verify basic information, and assist with intake paperwork.
Maintain a professional and welcoming environment for patients and visitors.
Work on location with team at Wesley Heights location several days a week.
Collaborate effectively with clinical and administrative staff to ensure timely service delivery.
Perform other duties as assigned in alignment with Architech Sports & Physical Therapy’s mission and values.