Referral and Insurance Operations Specialist

Full-Time | 40 Hours per Week $22-$25 an hour No Limits Pediatric Therapies is seeking a highly organized and dependable Referral and Insurance Operations Specialist. This position manages the administrative process for patients from the time a referral is received through evaluation, scheduling, and ongoing therapy services. The ideal candidate is detail-oriented, communicates well with families and professionals, and can confidently manage multiple deadlines and patient accounts. Primary Responsibilities Receive, review, and track incoming therapy referralsCommunicate with families throughout the intake processCollect and manage new-patient paperworkCreate and maintain accurate patient records in Fusion EMRCoordinate therapy prescriptions and physician orders with PCP officesVerify insurance eligibility, benefits, visit limits, and patient responsibilityClearly communicate insurance benefit information to familiesSchedule initial OT, PT, ST, and hippotherapy evaluationsSubmit and track initial and ongoing prior authorizationsMonitor expiring authorizations and prescriptions to prevent interruptions in careCoordinate required documentation with therapists, insurance companies, and physician officesMaintain accurate referral, authorization, prescription, and insurance recordsAssist with AAC, orthotic, TEFRA and other insurance-related processes as assigned Qualifications Experience in medical administration, patient intake, insurance verification, prior authorization, referrals, or scheduling preferredPediatric therapy or other healthcare experience is a plusFamiliarity with Medicaid, PASSE, TEFRA, and private insurance plans is preferredExperience with Fusion Web Clinic or another electronic medical record system is helpfulStrong organizational, communication, and problem-solving skillsExcellent attention to detail and ability to meet time-sensitive deadlinesAbility to communicate professionally and compassionately with familiesComfortable using electronic medical records, spreadsheets, payer portals, email, and electronic fax systemsReliable attendance and consistent follow-through are essential This role is an important part of helping families begin services smoothly and ensuring patients can continue receiving therapy without avoidable insurance, authorization, or prescription delays. Email: careers@nolimitstherapies.com