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).