Prior Authorization Specialist (Physical Therapy) – Temporary

Description

Help Keep Patients Moving. Make an Impact Behind the Scenes.

BoulderCentre for Orthopedics & Spine is seeking a detail-oriented and organized Physical Therapy Prior Authorization Specialist to join our team on a temporary basis. This role plays an important part in supporting our Physical Therapy department by coordinating insurance authorizations, monitoring approved visits, and helping ensure patients can continue receiving the care they need without unnecessary interruptions.

This is a temporary opportunity with an anticipated start date as soon as possible and an expected assignment end date of February 28, 2027. This position offers a hybrid work arrangement, combining remote work with in-office responsibilities.

Position Information

• Department: Billing
• Reports To: Revenue Cycle Manager
• Employment Type: Temporary, Full-Time
• Schedule: 30 hours per week
• Anticipated Start: As soon as possible
• Expected End Date: February 28, 2027
• Work Arrangement: Hybrid
• Overtime Status: Non-Exempt
• Wage: $20.00–$29.00 per hour, commensurate with experience

Requirements

What You'll Do

• Submit, obtain, and manage prior authorization requests for physical therapy services.
• Verify insurance benefits, coverage requirements, and payer-specific authorization guidelines.
• Track authorized therapy visits, utilization limits, and remaining visits.
• Monitor pending and expiring authorizations and follow up with insurance carriers to ensure timely approvals.
• Request authorization extensions or additional visits when needed to prevent interruptions in patient care.
• Review insurance plans for therapy-related limitations, including visit caps and combined therapy benefits.
• Communicate authorization approvals, denials, restrictions, and remaining visits to Physical Therapy staff.
• Coordinate with therapists, providers, insurance representatives, and other departments to resolve authorization issues.
• Maintain accurate documentation and tracking of authorization activity.
• Assist with denial follow-up and appeals as needed.

What We're Looking For

• High school diploma or GED required; college degree preferred.
• At least 2 years of experience in medical insurance, prior authorizations, medical billing, revenue cycle, or a related healthcare setting.
• Previous experience with physical therapy authorizations preferred.
• Knowledge of insurance benefits, payer guidelines, and medical terminology.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment.
• Proficiency with computers,  electronic medical records, and insurance portals.

Company-Paid Benefits

• Employee Assistance Program (EAP)

Additional Benefit Options

The following benefits are available through employee contributions, subject to applicable plan terms and eligibility requirements:

• Medical  insurance

Why Join BoulderCentre?

You'll be part of a collaborative healthcare team dedicated to providing exceptional patient care. Your work will directly support our Physical Therapy department and help patients receive the services they need.

This position will be open for a minimum of 3 days and will remain open until a top candidate is identified.

Equal Employment Opportunity

BoulderCentre for Orthopedics & Spine is an Equal Opportunity Employer committed to providing equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, national origin, age, disability, genetic information, marital status, sexual orientation, gender identity or expression, veteran status, or any other characteristic protected by applicable law.

Our hiring decisions are based on qualifications, merit, and business needs. We encourage qualified candidates from diverse backgrounds to apply and are committed to fair, inclusive recruitment and employment practices in accordance with applicable federal, state, and local laws.