Prior Authorization Specialist (Physical Therapy) – Temporary
About The Position
BoulderCentre for Orthopedics & Spine is hiring a detail-oriented and organized Physical Therapy Prior Authorization Specialist on a temporary, full-time basis. This role supports the Physical Therapy department by coordinating insurance authorizations, monitoring approved visits, and helping patients continue receiving care without unnecessary interruptions. The position is in the Billing department and reports to the Revenue Cycle Manager. The role is hybrid, combining remote work with in-office responsibilities. It is scheduled for 30 hours per week and is non-exempt. The anticipated start is as soon as possible, with an expected assignment end date of February 28, 2027. Compensation is $20.00–$29.00 per hour, commensurate with experience. The position supports a collaborative healthcare team and directly helps the Physical Therapy department ensure patients receive the services they need.
Requirements
- High school diploma or GED required.
- At least 2 years of experience in medical insurance, prior authorizations, medical billing, revenue cycle, or a related healthcare setting.
- Knowledge of insurance benefits, payer guidelines, and medical terminology.
- Strong organizational skills and attention to detail.
- Excellent written and verbal communication skills.
- Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment.
- Proficiency with computers, electronic medical records, and insurance portals.
Nice To Haves
- College degree preferred.
- Previous experience with physical therapy authorizations preferred.
Responsibilities
- Submit, obtain, and manage prior authorization requests for physical therapy services.
- Verify insurance benefits, coverage requirements, and payer-specific authorization guidelines.
- Track authorized therapy visits, utilization limits, and remaining visits.
- Monitor pending and expiring authorizations and follow up with insurance carriers to ensure timely approvals.
- Request authorization extensions or additional visits when needed to prevent interruptions in patient care.
- Review insurance plans for therapy-related limitations, including visit caps and combined therapy benefits.
- Communicate authorization approvals, denials, restrictions, and remaining visits to Physical Therapy staff.
- Coordinate with therapists, providers, insurance representatives, and other departments to resolve authorization issues.
- Maintain accurate documentation and tracking of authorization activity.
- Assist with denial follow-up and appeals as needed.
Benefits
- Employee Assistance Program (EAP).
- Medical insurance is available through employee contributions, subject to applicable plan terms and eligibility requirements.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
