Job description
Full-time Verification & Verification Lead
Ivy Rehab
Remote Position
At Ivy Rehab you are a TEAMMATE, not an employee.
Ivy Rehab is an entrepreneurial organization that champions clinical and professional growth. We provide exceptional resources, structure, leadership, mentorship, and career advice to our teammates to set them up for success.
WHAT WE OFFER:
Ivy Rehab is a Leading National Provider of outpatient orthopedic rehab and the largest pediatric rehab provider in the U.S. We recruit the best-in-class clinicians so we can provide the best quality of care to our patients. Our Ivy Rehab Clinicians recently achieved CMS' highest ranking MIPS performance tier! (97 out of 100 points)
OUR MISSION:
We inspire and enable people to live life to the fullest.
OUR VISION:
By creating exceptional patient experiences and outcomes, we will become the provider, partner, and employer of choice in outpatient rehabilitation.
OUR VALUES:
RESPONSIBILITIES:
ivyrehab.com
Ivy Rehab
Remote Position
At Ivy Rehab you are a TEAMMATE, not an employee.
Ivy Rehab is an entrepreneurial organization that champions clinical and professional growth. We provide exceptional resources, structure, leadership, mentorship, and career advice to our teammates to set them up for success.
WHAT WE OFFER:
- Smaller community vibe with bigger company benefits
- Competitive base salary + benefits package including 401k match (12% 401K annual company match in 2021!)
- Up to 3 weeks of PTO + 6 paid holidays
- Professional development and career growth opportunities
- Community outreach and service initiatives
- And so much more
Ivy Rehab is a Leading National Provider of outpatient orthopedic rehab and the largest pediatric rehab provider in the U.S. We recruit the best-in-class clinicians so we can provide the best quality of care to our patients. Our Ivy Rehab Clinicians recently achieved CMS' highest ranking MIPS performance tier! (97 out of 100 points)
OUR MISSION:
We inspire and enable people to live life to the fullest.
OUR VISION:
By creating exceptional patient experiences and outcomes, we will become the provider, partner, and employer of choice in outpatient rehabilitation.
OUR VALUES:
- One Ivy: We may be comprised of over a dozen brand names, but we believe we are all One Ivy.
- Love What You Do: You know the old saying: if you love what you do, you’ll never work a day in your life.
- Do the Right Thing: We believe in always doing the right thing
- I Belong: At Ivy, we lead inclusively – everyone has a voice.
- GSD: GSD means “Get Stuff Done.”
- Grow: Growth is so important on a personal and professional level
- Serve Others: No matter which brand or state our clinics are in, they definitely have one thing in common: a passion for giving back to those in need.
RESPONSIBILITIES:
- Effectively manage team of A&V Specialists through coaching and performance oversight
- Serve as Subject Matter Expert (SME) for designated territory regarding payer and state guidelines related to authorization and verification
- Provide clear and professional communication to front office and operational leadership regarding progress, feedback, and actional next steps for any pending issues
- Monitor performance metrics related to authorization and verification in the territory and partner with front office leaders and A&V vendor to formulate a plan of action for improvement as necessary
- Submit authorization requests timely within EMR, following payer and state specific guidelines
- Partner with front desk teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission
- Gather and provide streamlined and consistent feedback to front desk teammates and A&V vendor regarding areas of opportunity in authorization or verification timeline or process
- Address and respond to authorization or verification related queries from front desk teammates or A&V vendor
- Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to front desk teammates or A&V vendor as needed
- 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
- Complete batch eligibility requests twice a month and partner with front desk teammates to ensure follow-up is completed for ineligible results
- Facilitate training and onboarding of 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
- Perform other duties as assigned by leadership staff
- Ability to lead by example and inspire others to perform at their highest level
- Exceptional communication skills with ability to adjust style to suit circumstance and navigate issues with tact and diplomacy
- Experience with government and commercial insurance in the therapy arena 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
ivyrehab.com
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