Authorization Specialist

Join Performance Optimal Health as an Authorization Specialist. Here at Performance, we take a holistic approach to health and recovery, ultimately striving to empower all clients to live better lives. Each of our clients undergo a unique Optimal Health Assessment, allowing us to tailor their plan of care to their specific needs using a variety of our services. Our services we offer are based upon the Four Pillars of Optimal Health – exercise, nutrition, recovery, and stress management. We have highly trained professionals in all four pillars, who make the clients journey their priority.  

With over 20 years of experience throughout Connecticut and New York, we have successfully launched our first site in Naples, Florida. We are excited to continue growing and building upon each team. We are seeking an individual with a passion for health and wellness, and a willingness to work within a team of individuals focused on impacting the lives of our clients in a positive way. This person would report directly into the billing supervisor and work alongside a team of seven individuals.

Cornerstones

Performance Optimal Health is driven by five main cornerstones that are ever present and inform all actions and decisions regarding how we scale, what direction our business takes, and how we conduct ourselves

• We care from the core
• We sweat the small stuff
• We are teachers & scholars
• We take ownership
• We huddle

We are currently looking to fill a position of M-F 9AM – 5:30PM.

Key Areas of Ownership (But not limited to)

• Obtains, tracks, and follow-ups all necessary authorizations and pre-certifications as required by payers.​
• Maintains patient’s EMR and billing system to assure authorization information is in file and on claim.​
• Communicates authorization requests and / or denials to front desk, therapist, and patient prior to patient receiving service.​
• Monitor claims daily being held for authorization and assure authorization is obtained prior to submitting to insurance carrier.​
• Communicate to manager on any therapist or staff being non-compliant in filling out authorization requests.​
• Maintains up to date information for patient accounts including correct demographic, authorization, and insurance carrier information.​
• Attends training classes or webinars as directed as well as company and department meetings as required.​
• Answers patient phone calls related to billing inquiries.
• Work closely with a team of individuals
• Performs other related duties as assigned.​

Requirements

• High School Diploma (Associates Degree is a bonus)
• At least one to two years of experience in a related position
• Strong verbal and written communication skills
• Highly proficient with Microsoft excel
• Strong technical skills
• Ability to maintain confidentiality and professionalism
• Strong customer service skills
• High degree of accuracy and attention to detail
• Excellent client service and professional demeanor in communicating with staff members at all levels throughout the institution, as well as with vendors and others

Benefits

• Competitive Pay based on experience.
• Huge growth potential within the organization
• Mentorship
• Medical/Dental/Vision
• 401K (& Match)
• Access to facilities at all locations
• Internal and External Discounts
• Annual continuing education allocations
• Fun atmosphere

This job description is intended to describe the general requirements for the position. It is not a complete statement of duties, responsibilities, or requirements. Other duties not listed here may be assigned as necessary to ensure the proper operations of the department. All your information will be kept confidential according to EEO guidelines. Must have a legal right to work in the United States.