Medical Insurance Authorization Specialist

About the role

The Medical Insurance Authorization Specialist is responsible for processing all authorization activities for assigned clinic locations. This role requires exceptional time‑management skills to ensure patients receive timely pre-authorizations. You will work closely with front office staff, therapists, and the billing team to support smooth patient care and clinic operations.

Responsibilities

• Review referrals for accuracy and completeness, and collaborate with therapists and office staff to obtain required medical documentation and ensure the plan of care aligns with diagnoses and referral details.
• Monitor authorization status, conduct timely follow‑ups with insurance carriers, and maintain accurate authorization records with all updates documented and communicated appropriately.
• Ensure authorizations are secured for the following day's patients or promptly notify office staff and therapists when authorizations cannot be obtained.
• Manage all correspondence and enter detailed notes into the EMR system regarding interactions with insurance companies, patients, clinic staff, and billing personnel.
• Follow established authorization workflows, policies, and procedures while maintaining strict HIPAA compliance in all processes.
• Participate in educational opportunities and attend monthly staff meetings, performing additional duties as assigned.

Benefits

We offer competitive pay and excellent benefits. Learn more about OSS Benefits & Rewards: https://www.osstherapy.com/employee-benefits

• Medical
• Dental
• Vision
• Paid vacation
• Sick time
• 401(k)
• And more

Schedule

Full-Time | In-Office | Monday–Friday, 8:00 a.m.–5:00 p.m.