What are the responsibilities and job description for the Authorization Representative (Commercial Insurance) position at Innovive Health?
At Innovive Health, our mission is to provide best-in-class home healthcare services to patients with chronic behavioral health issues and complex medical needs. Our team of skilled caregivers, nurses, therapists, and operations staff collaborate to create innovative, data-driven solutions while ensuring the best outcomes for our patients. If you have a passion for delivering better healthcare and are interested in building a meaningful career, join our team of Innovivers!
BECOME AN INNOVIVER!
Do you have a passion for delivering better healthcare? Are you interested in building a meaningful career? At Innovive Health, our mission is to provide best-in-class home healthcare services to patients with chronic behavioral health issues and complex medical needs. With us, you will find people that share your passion for helping others. Our team is made up of skilled caregivers, nurses, therapists, and operations staff who collaborate to create innovative technology, and data-driven solutions while ensuring the best outcomes for our patients. And we’ve got a spot open for you.
POSITION SUMMARY:
The Authorization Representative is part of a fast-paced and dynamic department that plays a crucial step in making sure that the patients are eligible to receive our services. The individual filling this position is an ambitious, hands-on problem solver, and effective communicator that will support the achievements of the team. The role includes the following: insurance verifications, obtaining authorizations, and patient eligibility.
- Associate degree or equivalent in related work experience
- Minimum of 1 years experience in an office setting
- Proficiency in Microsoft Office
- Healthcare
- Comprehensive benefits package that includes medical, dental, vision, disability, and life insurance
- 24 days of paid time off
- Paid Company Holidays
- 401k with company match
- Daily Pay - voluntary benefit that gives you access to earned pay
- Wellness program
- Tuition reimbursement
- Excellent career growth opportunities
- Obtain prior authorization or pre-certification of services to be rendered as required by each individual payor.
- Answer incoming telephone calls and triage to appropriate personnel as indicated.
- Complete and manage all paperwork or supportive documentation required for performing effective billing.
- Re-verify patient eligibility, and monitor insurance lifetime caps and prior authorization periods.
- Resolve patient/payor issues in a timely manner.
- Run various reports to keep up with patient caseload and Utilization Review Maintenance
- Participate in departmental, clinical, and company meetings as requested.
- Participate in required training including, but not limited to, in-service and educational programs.
- Perform other activities and duties as deemed necessary.
Innovive Health is committed to providing and maintaining a safe work environment and pursuant to applicable state and federal mandates, requires that are fully vaccinated for COVID-19, or obtain an approved religious or medical exemption as an accommodation. Please be advised we will take all exemption requests into consideration, however, we may not be able to accommodate all requests.
Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Salary : $52,900 - $67,000
