Insurance Prior Authorization Representative

For prompt communication, we encourage applicants to opt into texting during the application process.

• High School Diploma


• Prior Authorization experience highly preferred

• 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.