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workers Comp/authorization Specialist

Company: Professional Physical Therapy
Location: Melville
Posted on: June 8, 2021

Job Description:

Position Description: The Workers Compensation/Authorization Specialist is responsible for account management of applicable workers compensation cases. The incumbent will verify, secure authorizations as required by insurance carriers making notification to adjusters to verify cases. In addition, this position is responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution.

Essential Functions:

  • Obtains all required authorizations for patient via internet and/or phone in a timely manner and at times with a sense of urgency;
  • Responds promptly to inquires received from clinics either via telephone, email or tasking;
  • Keeps providers abreast of patient authorization status including approvals and denials;
  • Contacts insurance companies and escalates issues when authorization approvals and claim payments are not received timely;
  • Reviews work ques on a daily basis to ensure productivity standards on patient account authorization and A/R follow up is maintained;
  • Assists in identifying denial trends for under and over-payments by insurance carriers and escalates as necessary;
  • Assists in providing resolution to unpaid, unresolved accounts with payers;



  • Experience working of medical billing, account receivable follow up, with a strong emphasis on denial management and third party policy;
  • Must have an understanding of insurance payor reimbursement, authorization, collection practices and practice management systems;
  • Must have the ability to maintain the confidentiality of all records;
  • Must have the ability to manage multiple tasks and demands given while ensuring a high degree of accuracy and attention to detail;
  • Must have effective interpersonal and communication skills;

Keywords: Professional Physical Therapy, New Haven , workers Comp/authorization Specialist, Other , Melville, Connecticut

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