Authorization Representative

Innovive Health • Medford, MA

6d • Onsite

About The Position

The Authorization Representative is part of a fast-paced and dynamic department that plays a crucial step in making sure that 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 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree