Summary


The primary duty is to identify the patient’s insurance that requires pre-authorization for scheduled OP Therapy, and ensuring it is obtained. Responsible for accurately documenting pertinent authorization information in all related billing systems. Responsible for benefit verification for identified services and communicating benefit details to requesting department. Effective communication to the patient regarding lack of authorization our out-of-network services. Responsible for evaluating each account individually, in a timely manner, to determine the appropriate precertification requirements based on established criteria. This role is key to securing reimbursement and minimizing organizational write-offs by following up on denials and appeals to obtain approval from insurance companies. Responsible to fill in as OP Therapy Scheduling Representative as needed. Requirements include the ability to perform at a high level and multi-task in a fast-paced envir...