Unknown company
Insurance Prior Authorization Representative
Summary
Processes insurance prior authorization requests for medical equipment by reviewing clinical documents and verifying compliance with insurance guidelines in a healthcare-focused team.
Jumpstart your career at Rehab Medical, one of the nation’s leading providers of custom advanced medical equipment and a recent Inc 5000 fastest growing U.S. company award winner! Based in Indianapolis, Indiana our company’s mission is to improve and positively impact the lives of the patients we serve, the partners we engage with, and the employees we invest in.
We hire based on attitude, aptitude, and a drive to succeed, qualities that have awarded us one of Indiana’s top places to work. Recently, we’ve experienced exponential growth so we’re looking to expand our dynamic Insurance Team to support this growth and help us to improve the lives of more than 200,000 mobility users.
If you're looking for a rewarding opportunity where you can work alongside other dedicated individuals who will inspire you to grow your skill sets and advance your career, bring your passion and experience to Rehab Medical!
Why You Should Apply:
- Guided Orientation Process at our Headquarters
- Mentorship Onboarding Program
- Employee Recognition Program
- Leadership Development Program
- Continuing Education Opportunities
- Network of Support (health and well-being)
For prompt communication, we encourage applicants to opt into texting during the application process.
The Position: We are looking for an Insurance Prior Authorization Submission Representative to join our team!
Education and Experience:
- High School Diploma
- Prior Authorization experience highly preferred
Overview:
This position is responsible for verifying and reviewing Insurance orders and clinical documentation to ensure compliance with Insurance criteria and guidelines. Below are some key functions and skills for this opportunity:
- Reviews clinical documentation from physical therapists and physicians to ensure compliance with insurance guidelines
- Stays abreast of changing industry guidelines regarding Insurance
- Pre-reviews evaluations for sales team
- Records approvals and denials from insurance for trending
- Responds to email and phone calls within 24 hours
- Completes orders within 24 hours of entering queue
- Communicates with sales team and other departments for accuracy
- Submits authorization request to insurance; reviews quotes, documents, checks medical necessity qualifications
- Achieves results expectations
- Produces quality work, meeting the departmental guidelines and metrics
- Other duties as assigned
We do not accept unsolicited resumes from outside recruiters/placement agencies. Rehab Medical will not pay fees associated with resumes presented through unsolicited means.