Job Summary
A health insurance company is filling a position for a Telecommute Senior Therapist Reviewer in Austin.
Core Responsibilities of this position include:
- Applying professional therapy, government regulation and medical policy knowledge to medical review, and makes determinations for authorization requests, meeting all contract requirements, processes and operational unit goals to ensure customer satisfaction
- Maintaining knowledge of regulations and requirements through review of current regulations and/or policies
- Documenting findings, develops analyses, and submits reports to the appropriate departments in accordance with government regulations and requirements
Skills and Requirements Include:
- Graduate of a college level program in physical therapy, 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
- Current active unrestricted license as a physical or occupational therapist in applicable state
- Pediatric experience preferred
- Ability to researches and obtain additional data, consult with clinical reviewers and medical directors, when necessary
- Ability to act as a resource for internal and external customers
- Ability to participate in or leads intradepartmental teams, projects and initiatives