Senior Medical Office Administrator; Insurance Authorization Specialist), Bilingual; English​/Sp

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

Bronx, Bronx, United States

• Job Identification 176362
• Job Category Administrative Support
• Posting Date 12/23/2025, 06:47 PM
• Locations 1111 Marcus Ave, Lake Success, NY, 11042, US
• Job Schedule Full time
• Job Shift Day
• Minimum Salary/Range
  * 21.0000
• Maximum Salary/Range
  * 25.0000
• Shift Begin Time 8:30 AM
• Shift End Time 5:30 PM

Flex Staff is seeking a Senior Medical Office Administrato 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).