Workers Compensation Authorization & Verification Specialist

Ivyrehab•White Plains, NY

9h•Remote

About The Position

At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab’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.

Requirements

Demonstrates flexibility in responding to priorities and organizational change.
Demonstrates ability to work under pressure and follow through on assignments
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
Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications.
Open availability Monday through Friday from 8am-5pm EST
Ability to self-motivate and focus in a remote position
Proficient in Microsoft applications

Nice To Haves

Experience with Workers Compensation insurance in the therapy arena preferred
2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred

Responsibilities

Submit authorization requests timely within EMR, following payer and state specific guidelines
Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics
Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission
Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process
Address and respond to authorization or verification related queries from Ivy teammates and WC Payers
Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead
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
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
Attend and participate in Department and Organizational meetings to discuss departmental goals and progress
Perform other duties as assigned by leadership staff