Senior Medical Office Administrator (Insurance Authorization Specialist), Bilingual (English/Spanish)

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).