Verification & Authorization Specialist - Float

Full-Time Verification & Authorization Specialist
Ivy Rehab Physical Therapy
Remote Position
Check us out! - https://www.ivyrehab.com/locations/
Ivy Rehab Network is a leading national provider of outpatient orthopedic rehab and the largest pediatric rehab provider in the U.S. We are an entrepreneurial organization that champions clinical and professional growth. We provide exceptional resources, structure, leadership, mentorship, and career advice to our teammates to set them up for success.
At Ivy Rehab Physical Therapy, you are not just an employee; you are a valued teammate!
OUR VALUES:
One Ivy – Love what you do – Do the right thing – I belong – GSD (Get stuff done) – Grow – Serve others
POSITION SUMMARY:
The Authorization and Verification Specialist will work in combination with front office teammates and any external authorization and verification vendors to ensure Ivy’s processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost revenue is minimized. In this role, you will be driving both internal and external customer satisfaction through a focus on faster and more efficient reimbursement. The ideal candidate will not only ensure a positive experience for patients, providers, and fellow teammates, but will also be a key contributor in optimizing and standardizing authorization and verification workflows within Ivy. Interested in learning more? We invite you to apply today so we can connect with you!
CORE RESPONSIBILITIES:

• Submit authorization requests timely within EMR, following payer and state specific guidelines
• Partner with front desk teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission
• Provide regular feedback to front desk teammates and A&V vendor regarding areas of opportunity in authorization or verification timeline or process
• Address and respond to authorization or verification related queries from front desk teammates or A&V vendor
• Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to front desk teammates or A&V vendor as needed
• 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
• Complete batch eligibility requests twice a month and partner with front desk teammates to ensure follow-up is completed for ineligible results
• 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
• Perform other duties as assigned by leadership staff

QUALIFICATIONS & SKILLS:

• Experience with government and commercial insurance in the therapy arena preferred
• Demonstrates flexibility in responding to priorities and organizational change
• Demonstrates ability to work under pressure and follow through on assignments
• 2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination, and patient services preferred
• 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

SUMMARY OF BENEFITS:

• Professional and personal growth opportunities
• Smaller community vibe with bigger company benefits
• Competitive base salary + benefits package including medical, dental, vision, and 401k match
• Generous PTO and Holidays
• Find out more! – https://www.ivyrehab.com/careers/

We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process.
ivyrehab.com