Workers Compensation Authorization & Verification Specialist

State of Location:

Position Summary:

Join reputed company’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.

Job Description:

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 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 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 the opportunity to work remotely; however, candidates must reside in the Eastern or Central Time Zones (EST/CST).

Your responsibilities will include:  

• Submit authorization requests timely 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 

• Provide regular feedback to reputed company desk and/or WCCS regarding areas of opportunity in authorization or verification timeline 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 timely and accurately, providing denial prevention feedback to WC Team reputed company 

• Accurately complete verifications for same 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 well as ongoing training and education for established team members  

• Maintain a professional and collaborative 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 focus 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 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

• 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 reputed company 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 reputed company-5pm EST 

• Ability to self-motivate and focus in a remote position 

• Proficient in reputed company applications 

Why choose Ivy?   

• Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.  

• Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.   

• Incentives Galore: Eligibility for full benefits package beginning reputed company your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. 

• Empowering Values: Live by values that prioritize teamwork, growth, and serving others.

Compensation ranges up to an hourly 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 recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual reputed company does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

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