Workers Compensation Authorization & Verification Specialist

Workers Compensation Authorization And Verification SpecialistState of Location: New YorkAt 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.Your responsibilities will include:Submit authorization requests timely within EMR, following payer and state specific guidelinesSpecialize in Workers Compensation Financial Class and fluidity within different state and payer specificsPartner 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 submissionProvide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or processAddress and respond to authorization or verification related queries from Ivy teammates and WC PayersEnsure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team LeadAccurately 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 informationRequest, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patientsAssist with training and education for new A&V teammates as well as ongoing training and education for established team membersMaintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflowsRun EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team LeadAttend and participate in Department and Organizational meetings to discuss departmental goals and progressPerform other duties as assigned by leadership staffTo excel in this role, you should possess:Experience with Workers Compensation insurance in the therapy arena preferredDemonstrates flexibility in responding to priorities and organizational change.Demonstrates ability to work under pressure and follow through on assignments2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferredAbility to multi-task, prioritize needs to meet required timelines.Customer service experienceEffective written and verbal communication skills.Solution oriented mindset and ability to use critical thinking and analytical skillsAbility to use standard office equipment to include copiers, fax machines, and other methods of electronic communications.Open availability Monday through Friday from 8am-5pm ESTAbility to self-motivate and focus in a remote positionProficient in Microsoft applicationsWhy 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.Empowering Values: Live by values that prioritize teamwork, growth, and serving others.Compensation Range: $20.00 - $23.00 per hour.This position is also eligible for a bonus.Full Benefits in Your First 30 Days:Medical, dental, vision insurance401k with company matching contributionDisability & life insurancePet insurance discounts for your fur babiesPaid parental leave and maternity leaveGym and wellness discountsFree mental health + financial servicesGenerous PTO Program & 6 paid holidays annuallyThe compensation range listed reflects the good faith estimate of pay this organization reasonably expects to offer for this position at the time of posting. Actual compensation will be determined based on relevant factors including skills, experience, qualifications, and work location. This range applies to the base salary or hourly rate only and does not include bonuses, benefits, or other forms of compensation that may be offered.Applicants in Connecticut and Rhode Island may request the pay range for this position at any time prior to or during the application process.We do not inquire about salary history as part of our hiring process.