[Hiring] Verification/Authorization Specialist @Functional Pathways

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Role Description

Join Functional Pathways – Where Your Expertise Makes an Impact!

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.

What You’ll Do:

  • 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.

Qualifications

  • 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.

Benefits

  • 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.
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