Insurance Verification & Authorization Specialist

We are seeking a professional, dependable, and customer-focused individual who enjoys working in a friendly, team-oriented environment. The Insurance Verification & Authorization Specialist serves as the first point of contact for our patients, referral sources, and visitors. As an Insurance Verification Specialist, you will play a critical role in ensuring patients receive timely access to prosthetic and orthotic services by verifying insurance benefits and securing necessary authorizations. The Insurance Verification & Authorization Specialist reports directly to the Patient Accounts Supervisor and plays a vital role in ensuring an exceptional patient experience.

Work Schedule: Monday - Friday, 8- 4:30 pm Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

What We're Looking For

• Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
• Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
• Understanding of HCPCS coding, ICD-10 coding, and payer allowable guidelines.
• Strong organizational skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with medical billing software and Microsoft Office applications.

Why Join Lawall? At Lawall, our employees make a meaningful impact every day by helping patients regain mobility and improve their quality of life. We offer:

• Stable Monday–Friday schedule
• Supportive and collaborative team environment
• Opportunities for professional growth and development
• Competitive pay and comprehensive benefits package
• The opportunity to make a difference in patients' lives

If you're looking for a rewarding career where your work truly impacts the lives of others, we'd love to hear from you!

Lawall Prosthetic & Orthotic Services is an Equal Opportunity Employer. This is a drug-free workplace. Employment offers are contingent upon successfully passing a pre-employment drug screening and background check.