Authorization Representative

Innovive Health•Medford, MA

1d•$20 - $23•Hybrid

About The Position

Innovive Health provides a supportive environment where clinicians can make a meaningful impact in the lives of patients by delivering care in the comfort of their home. Our dedicated teams go above and beyond to provide high-quality, compassionate care, and we believe the quality of our employees is the foundation of the care we deliver. Our employees are our biggest asset. The Authorization Representative is part of a fast-pace and dynamic department that plays a crucial step in making sure that the patients are eligible to receive our services. The individual filling this position is an ambitious, hands-on problem solver, and effective communicator that will support the achievements of the team. The role includes the following: insurance verifications, obtaining authorizations, and patient eligibility.

Requirements

Associate degree or equivalent in related work experience
Minimum of 1 years’ experience in an office setting
Proficiency in Microsoft Office
Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 5% or less of the time).

Nice To Haves

Healthcare experience preferred

Responsibilities

Obtain prior authorization or pre-certification of services to be rendered as required by each individual payor.
Answer incoming telephone calls and triage to appropriate personnel as indicated.
Complete and manage all paperwork or supportive documentation required for performing effective billing.
Re-verify patient eligibility, monitor insurance lifetime caps and prior authorization periods.
Resolve patient/payor issues in a timely manner.
Run various reports to keep up with patient caseload and Utilization Review Maintenance
Participate in departmental, clinical and company meetings as requested.
Participate in required training including, but not limited to, in-service and educational programs.
Performs other duties as assigned.