Insurance Prior Authorization Representative jobs in United States
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Rehab Medical · 1 day ago

Insurance Prior Authorization Representative

Rehab Medical is one of the nation’s leading providers of custom advanced medical equipment, recognized as one of Indiana’s top places to work. They are seeking an Insurance Prior Authorization Submission Representative who will be responsible for verifying and reviewing insurance orders and clinical documentation to ensure compliance with insurance criteria and guidelines.

Health CareRehabilitation

Responsibilities

Reviews clinical documentation from physical therapists and physicians to ensure compliance with insurance guidelines
Stays abreast of changing industry guidelines regarding Insurance
Pre-reviews evaluations for sales team
Records approvals and denials from insurance for trending
Responds to email and phone calls within 24 hours
Completes orders within 24 hours of entering queue
Communicates with sales team and other departments for accuracy
Submits authorization request to insurance; reviews quotes, documents, checks medical necessity qualifications
Achieves results expectations
Produces quality work, meeting the departmental guidelines and metrics
Other duties as assigned

Qualification

Prior Authorization experienceInsurance guidelines knowledgeClinical documentation reviewDetail orientedCommunication skills

Required

High School Diploma

Preferred

Prior Authorization experience highly preferred

Benefits

Guided Orientation Process at our Headquarters
Mentorship Onboarding Program
Employee Recognition Program
Leadership Development Program
Continuing Education Opportunities
Network of Support (health and well-being)

Company

Rehab Medical

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Rehab Medical takes pride in providing top of the line rehabilitative equipment.

Funding

Current Stage
Growth Stage

Leadership Team

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Kenny Hicks
Chief Technology Officer
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Michael Pahud
Chief Financial Officer
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Company data provided by crunchbase