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
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)