Verification / Authorization Manager
About Functional Pathways
Functional Pathways is a national contract therapy provider delivering physical, occupational, and speech therapy services in senior living communities and healthcare settings across the United States. Our mission is to empower older adults to live their best lives through evidence-based therapy and compassionate care.
At our corporate headquarters in Knoxville, Tennessee, our team supports clinical operations nationwide through collaboration, innovation, and service excellence. We are seeking a Verification / Authorization Manager to lead and strengthen our insurance verification and authorization processes. This is an on-site position based at our Knoxville, TN corporate office. Remote or hybrid work is not available for this role.
The Verification / Authorization Manager is responsible for overseeing the verification and authorization department, ensuring timely, accurate, and compliant coverage approvals for therapy services. This role works closely with clinical and administrative teams to optimize workflows, minimize denied claims, and maintain strong payer relationships.
Key Responsibilities
• Oversee the full verification/authorization department and daily operations • Ensure timely, accurate, and compliant processing of coverage approvals for services • Assist in developing workflows to minimize denied claims • Analyze payer policies and requirements • Act as liaison between clinical staff and the verification/authorization team • Clearly explain patient coverage information when needed • Document all communication and contact with providers • Ensure all authorizations are obtained and details entered into patient records • Perform other duties as assigned
Qualifications
High school diploma or GED required Previous management or leadership experience preferred Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding Excellent communication and organizational skills Ability to work independently and manage multiple priorities
Requirements
Prior experience verifying patient insurance eligibility and coverage Experience requesting and obtaining authorizations for therapy services Ability to apply CPT, HCPCS, and ICD-10 coding as needed