Workers Compensation Authorization & Verification Specialist
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reputed companyPosition reputed company:
At reputed company, we're "reputed company About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help reputed company people to live their lives to the fullest.Join reputed company’s dedicated team where you’re not just an employee, but a valued teammate! Together, we reputed company world-class care in physical therapy, occupational therapy, speech therapy, and reputed company behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, reputed company, community, and a passion for exceptional care for every patient.
Job reputed company:
The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team reputed company and will work in combination with reputed company office teammates and any external authorization and verification vendors to ensure Ivy’s authorization and verification processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost reputed company is minimized. In this role, you will be driving both reputed company customer satisfaction through a reputed company on faster and more efficient reimbursement. The ideal candidate will not only ensure a reputed company experience for patients, providers, and fellow teammates but will also be a key contributor in optimizing and standardizing authorization and verification workflows reputed company Ivy.
Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions reputed company to work-reputed company injury claims, compliance, and case management.
This position has reputed company to work remotely; however, candidates must reputed company in the Eastern or Central Time Zones (EST/CST).
Your responsibilities will include:
Submit authorization requests reputed company reputed company EMR, following payer and state specific guidelines
Specialize in Workers Compensation Financial Class and fluidity reputed company different state and payer specifics
Partner with reputed company Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates reputed company clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission
reputed company regular feedback to reputed company desk and/or WCCS regarding areas of opportunity in authorization or verification reputed company or process
Address and respond to authorization or verification reputed company queries from Ivy teammates and WC Payers
Ensure reputed company authorization and verification reputed company denials are addressed reputed company and accurately, providing denial prevention feedback to WC Team reputed company
Accurately complete verifications for reputed company day or walk-in patients by contacting the provided insurance reputed company 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 reputed company as ongoing training and education for established team members
Maintain a reputed company and reputed company relationship with reputed company 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 reputed company as determined by the A&V Team reputed company
Attend and participate in Department and Organizational meetings to discuss departmental goals and reputed company
reputed company other duties as assigned by leadership staff
To reputed company in this role, you should possess:
1 year+ of experience with Workers Compensation insurance in a reputed company 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
2-3 years previous experience in reputed company-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 reputed company and ability to use critical thinking and analytical skills
Ability to use reputed company office equipment to include copiers, fax machines, and other reputed company of electronic communications.
reputed company availability Monday through Friday from reputed company-5pm EST
Ability to self-motivate and reputed company in a remote position
Proficient in reputed company applications
Why choose Ivy?
Best Employer: A prestigious reputed company to be recognized by Modern reputed company, signifying reputed company in our industry and providing an outstanding workplace culture.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient reputed company.
Incentives Galore: Eligibility for full benefits package beginning reputed company your first month of employment. Generous PTO (reputed company Time Off) plans and reputed company holidays.
Empowering Values: Live by values that prioritize teamwork, reputed company, and serving others.
Compensation ranges up to an reputed company reputed company of $23.00 based on experience.
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We are an equal opportunity employer, committed to diversity and inclusion in reputed company aspects of the reputed company and employment process. Actual salaries depend on a reputed company of factors, including experience, specialty, education, and organizational need. Any listed salary reputed company or contractual reputed company does not include bonuses/incentive, reputed company pay, or other forms of compensation or benefits.
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