FlexStaff is seeking a Senior Medical Office Administrator with experience in Healthcare Insurance Authorization and Revenue Cycle Operations for our Client, a Prosthetics and Orthotics Lab, located in Manhattan, NY.
Requirements:
High school diploma or equivalent required.
Advanced knowledge of medical insurance verification, prior authorization processes, and reimbursement methodologies.
Prior experience in healthcare billing, collections, or revenue cycle operations required.
Bilingual English/Spanish.
Schedule: Monday- Friday, 8:30am-5:30pm.
This is Temp-to-Hire role.
In this role you will be serving as the lead specialist for insurance verification, benefits investigation, prior authorizations, and re-authorizations using payer portals, electronic systems, and direct payer communication
Responsibilities:
Insurance Authorization & Revenue Cycle Operations
Lead insurance verification, benefits investigation, prior authorizations/re-authorizations.
Interpret payer policies, coverage criteria, and reimbursement rules.
Validate eligibility, deductibles, co-insurance, and OOP maximums before services.
Resolve authorization issues and denials with clinicians and billing.
Track turnaround times and escalate delays; report key metrics.
Maintain organized filing for audits and compliance.
Work Process Management & Technical Administration
Optimize workflows for authorizations, scheduling, documentation, and billing readiness.
Create and maintain SOPs; coordinate clinician schedules with authorizations.
Ensure daily billing readiness; use practice management systems to track status.
Quality Assurance & Compliance
Audit authorization accuracy, documentation completeness, and billing readiness.
Identify trends and gaps; recommend corrective actions.
Ensure compliance with payer, state, and federal regulations; retrain staff as needed.
Staff Training & Leadership
Train and supervise administrative staff on insurance processes and standards.
Act as escalation point for complex issues and promote best practices.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).