Apply on Employer Site

Ivy Rehab Network · 5 hours ago

Workers Compensation Authorization and Verification Specialist

United States

Full-time

Remote

Entry, Mid Level

$0/hr - $23/hr

2+ years exp

Ivy Rehab Network is dedicated to providing exceptional care in various therapy services. They are seeking a Workers Compensation Authorization and Verification Specialist to ensure efficient reimbursement processes and optimize authorization workflows while maintaining customer satisfaction.

ConsultingFitnessHealth CareTherapeuticsWellness

Responsibilities

Submit authorization requests timely within EMR, following payer and state specific guidelines

Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics

Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission

Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process

Address and respond to authorization or verification related queries from Ivy teammates and WC Payers

Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead

Accurately complete verifications for same day or walk-in patients by contacting the provided insurance via phone, fax, or online portal to obtain outpatient therapy benefits, eligibility, and authorization information

Request, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patients

Assist with training and education for new A&V teammates as well as ongoing training and education for established team members

Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows

Run EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team Lead

Attend and participate in Department and Organizational meetings to discuss departmental goals and progress

Perform other duties as assigned by leadership staff

Qualification

Workers Compensation insurancePre-auth verificationCustomer serviceMicrosoft applicationsMulti-taskingEffective communicationCritical thinkingFlexibility

Required

1 year+ of experience with Workers Compensation insurance in a healthcare environment required; experience with outpatient therapy preferred

Demonstrates flexibility in responding to priorities and organizational change

Demonstrates ability to work under pressure and follow through on assignments

Ability to multi-task, prioritize needs to meet required timelines

Customer service experience

Effective written and verbal communication skills

Solution oriented mindset and ability to use critical thinking and analytical skills

Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications

Open availability Monday through Friday from 8am-5pm EST

Ability to self-motivate and focus in a remote position

Proficient in Microsoft applications

Preferred

2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred