Fort Wayne, IN, 46802, USA
4 days ago
OP Therapy Authorizations Rep
Summary This role is responsible for obtaining pre-authorizations for scheduled outpatient therapy, verifying benefits, and documenting authorization details in billing systems. It requires effective communication with departments and patients regarding insurance coverage, out-of-network services, and authorization requirements. The position plays a key role in securing reimbursement by managing denials and appeals. Additionally, it serves as a backup for outpatient therapy scheduling as needed. Success in this fast-paced role requires strong communication, attention to detail, problem-solving, and time management skills. The ability to adapt to change, maintain data integrity, and uphold Parkview Health’s service excellence standards is essential. Education + High school diploma or GED required. + Medical terminology knowledge preferred. Licensure/Certification + Addendums are required for specific nursing roles (0153 Nurse Leader, 0249 Registry RN, 0252 Registered Nurse, 0235 Advanced Registered Nurse, and 0236 Expert Registered Nurse). These addendums can be found on the job description page on Parkview’s intranet. Experience + Minimum of two years of experience in a healthcare setting, call center, or clerical position preferred. + Experience using Microsoft Office applications preferred. + Prior registration experience is a plus. + One year of insurance pre-authorization experience preferred. Other Qualifications + Excellent verbal and written communication skills required. + Strong proficiency in general computer skills and applications. + Ability to multitask and work independently using critical thinking skills. + Professional appearance and adherence to clinic/facility dress code required. + Must be willing to work at other locations as assigned.
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