We are seeking someone who can provide compassion and exceptional customer service while managing the administrative aspects of the Central Authorization Department, multi-line phones and patient scheduling. Experience with medical insurances is needed. Full time position available with medical benefits, paid time off, 401K and a unique opportunity for employee profit sharing.

Position Title: Authorization & Eligibility Representative

Department: Central Authorization

Reports To: Authorizations & Eligibility Manager

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Process Physical and Occupational Therapy referrals
• Process incoming faxes and referrals
• Verify insurance eligibility
• Contact payers to verify patient eligibility and benefits
• Request prior authorizations from multiple insurance companies
• Provide payers with additional information to help facilitate authorization process
• Make outbound calls to insurance payers for status of authorization requests
• Contact referral sources as needed to obtain additional information
• Provide back office support to all clinics
• Complete daily insurance task list from clinics
• Receive and distribute inbound calls to different clinics
• Utilize our EMR system, Raintree

QUALIFICATIONS

• Minimum 2 years of Customer Service
• Strong communication skills to effectively communicate with patients and referring physician offices
• Excellent customer service skills
• Must be a team player
• Ability to adapt, prioritize and meet deadlines
• Positive energy and attitude ability to "smile over the phone"
• Accurately an efficiently enter information into different portals & systems as needed
• Handle multiple departmental tasks simultaneously
• Ability to use phone and computer systems
• Facilitate patient inquires in a timely manner
• Working knowledge of PPO & HMO insurances

EDUCATION

• High School Diploma or GED Required
• BA Degree preferred

PHYSICAL DEMANDS

• Requires prolonged sitting, frequent mobility, and some bending, stooping, stretching
• Requires vision and hearing within normal range
• Requires manual dexterity in the use of office machines such as telephone, copier, computers, and other equipment as necessary
• Some lifting of up to 30 pounds