Full-time Verification/Authorization Specialist

Functional Pathways • Knoxville, TN

1d • Hybrid

About The Position

Functional Pathways, a therapist-owned organization with over 30 years of experience in senior care, is looking for an experienced Verification/Authorization Specialist to join our corporate team. This full-time role ensures seamless insurance verification and authorization for therapy services. Join Functional Pathways – Where Your Expertise Makes an Impact! Stability & Growth – Be part of a well-established company dedicated to excellence in senior care. Supportive Team Environment – Work alongside professionals who value collaboration and expertise. Impactful Work – Play a crucial role in helping patients access the therapy services they need.

Requirements

• High school diploma or GED required.
• Prior experience in medical billing, insurance verification, or authorization preferred.
• Strong knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding.
• Excellent communication skills and the ability to work independently.
• Detail-oriented with a commitment to accuracy and efficiency.

Responsibilities

• Verify insurance coverage and obtain pre-authorizations for therapy services.
• Contact insurance carriers to confirm patient eligibility and benefit details.
• Accurately document communication and update patient records.
• Explain coverage information to patients and providers as needed.
• Ensure proper use of CPT, HCPCS, and ICD-10 coding when applicable.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED