"Alerted.org

**Req Number** 176362

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 the Bronx, NY.

Requirements:

* Advanced knowledge of medical insurance verification, prior authorization processes, and reimbursement methodologies.

* Strong understanding of state, federal, and payer-specific regulations related to billing, collections, and compliance.

* 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:

* Ensure accurate interpretation of payer-specific medical policies and guidelines.

* Validate eligibility, coverage limits, deductibles, and out-of-pocket maximums before service delivery.

* Collaborate with clinicians and billing teams to resolve authorization issues and denials.

* Monitor authorization turnaround times and escalate delays proactively.

* Prepare and oversee timely reporting of key operational metrics.

* Maintain organized electronic and physical filing systems for audits and compliance.

* Assist with general administrative functions, clerical support, and special projects.

* Manage and improve workflows for authorizations, scheduling, and billing.

* Develop and implement standardized operating procedures (SOPs) for insurance processes.

* Coordinate clinician schedules to align with authorization approvals.

* Ensure daily billing readiness by confirming required authorizations and documentation.

* Conduct quality audits of administrative and insurance-related work.

* Review clinician charts for accuracy and compliance with regulations.

* Train and support administrative staff in insurance processes and compliance.

* Serve as a resource for complex insurance and administrative issues.

* Promote best practices and accountability across operations.

_*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)._

The salary range for this position is $21-$25/hour

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.