Physical & Occupational Therapy Authorization Coordinator

South Florida Orthopaedics & Sports Medicine PA•Stuart, FL

39d•Onsite

About The Position

South Florida Orthopaedics & Sports Medicine is seeking a highly organized, detail-oriented Authorization Coordinator to support our growing Physical and Occupational Therapy services. This role is essential to ensuring patients receive timely access to therapy by obtaining insurance authorizations, verifying benefits, and coordinating closely with our clinical and scheduling teams. If you thrive in a fast-paced healthcare environment, enjoy solving problems, and take pride in providing exceptional service to both patients and coworkers, we'd love to hear from you.

Requirements

Experience obtaining medical insurance authorizations in a physician practice, therapy practice, hospital, or other healthcare setting
Strong understanding of insurance benefits, authorization processes, and payer requirements
Experience working with electronic medical records and practice management systems (NextGen preferred)
Excellent organizational skills with exceptional attention to detail
Strong computer and data entry skills
Outstanding verbal and written communication skills
Ability to manage multiple priorities while meeting deadlines
Experience providing exceptional customer service in a patient-facing or healthcare support role
Demonstrated reliability, professionalism, and strong work ethic

Nice To Haves

Experience with Physical Therapy and Occupational Therapy authorizations
Experience with Medicare, Medicaid, Workers' Compensation, automobile insurance, and commercial payers
Experience using Clearwave and NextGen
Knowledge of rehabilitation scheduling workflows

Responsibilities

Obtain initial authorizations and re-authorizations for Physical and Occupational Therapy services
Monitor authorization expirations, visit limits, and payer requirements to prevent interruptions in treatment
Verify insurance benefits, including deductibles, copayments, coinsurance, and therapy visit limitations
Respond promptly to urgent and same-day authorization requests
Submit medical records and supporting documentation required by insurance carriers
Coordinate peer-to-peer reviews and additional clinical documentation requests when necessary
Enter authorization and benefit information accurately into NextGen and Clearwave
Document all authorization activity according to established protocols
Communicate authorization status clearly and promptly with therapists, schedulers, physicians, and patients
Notify patients of anticipated financial responsibility when appropriate
Monitor NextGen work queues and therapy schedules to proactively identify authorization needs
Coordinate with Billing, Front Desk, and Therapy Services to resolve authorization or benefit issues
Assist with outside therapy referrals when needed
Provide backup support for Physical and Occupational Therapy scheduling, including evaluations, rescheduling, and no-show management
Maintain current knowledge of Medicare, Medicaid, commercial insurance, Workers' Compensation, and automobile insurance authorization requirements
Maintain compliance with HIPAA and all organizational policies