United States onlyState of Location:
New YorkPosition Summary:
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.
Job Description:
The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team Lead and will work in combination with front 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 revenue 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 within Ivy.
Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions related to work-related injury claims, compliance, and case management.
Your responsibilities will include:
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
To excel 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 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
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 within 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 rate of $23.00 based on experience.
We are an equal opportunity employer, committed to diversity and inclusion in all 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 rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
