Job description

Great News! The Nation’s Top Physical Therapy Practice (that’s us!) is looking for lifetime members to join our unconventionally passionate family.

About the Company:
At SPEAR, we spend each day inspiring, caring for, and elevating the New York City metro area. Together, we have built a passionate and empathetic team motivated to become the best version of itself. We respect, lead, and challenge each other to always improve ourselves, our teammates, and the health of our communities.
At our core, we develop people. By providing each other the ideal opportunities and tools to flourish—both personally and professionally—we have fostered a culture rooted in growth. And we have fun doing it!
This focus on professional development and organizational expansion has resulted in our collective achievement of several honors and recognitions from top medical, academic, and business communities. SPEAR recently received Columbia University’s Award for Leadership in Clinical Education, given to the top 1/10th of 1% of practices. SPEAR was named six times to the Inc5000 list of fastest growing private companies in America, as well as having been named by SmartCEO magazine as a Future500 company five times. SPEAR was also chosen to appear in Chase Bank’s National Ad Campaign, Mission Main Street, as a thriving small business committed to serving community interests. SPEAR was the first private practice to ring the opening bell at the New York Stock Exchange when on May 4th, 2016, during small business week, the executive team was featured on MSNBC.

In 2016, SPEAR Physical Therapy was chosen as the American Physical Therapy Association Private Practice Section’s “Nation’s Top Practice,” recognizing the company for its dedication to innovation and excellence.

In 2020, at the peak of the pandemic, the SPEAR Physical Therapy team dedicated themselves to the New York City community. This dedication was a testament to the unrelenting commitment that SPEAR providers have for their patients—the resilience the team demonstrated, and the innovative care provided to our patients–during the events of 2020 are what led SPEAR to be awarded “The Nation’s Top Practice” by the WebPT Ascend Conference. To be recognized during this historically difficult year was a proud moment for the organization and all our incredibly devoted team members.

In the years to come, SPEAR will continue its path of growth, with further expansion planned beyond the New York City Metropolitan region.

Success Factors

Care Coordinator Authorization Specialist

Your Impact - The Care Coordinator Authorization Specialist will work with all clinics, online appointments, and incoming calls to ensure that all patients’ get access to care. The Care Coordinator Authorization Specialist serves as a valued member of the Spear team, helping patients on their path to getting back to life by creating a 5 star first impression.

As a Spear Team Member, you naturally exhibit Spear’s values by default. Your talents instinctively result in actions of Service, Passion, Empathy, Accountability, Respect, Impact and Teamwork. You put people first, and know that every team member, and potentially every New Yorker within travel distance to any of our clinics, relies on you to help them become the best versions of themselves.

Your Success Factors:
Respect & Teamwork: You understand that respect is the only way employees, customers and Spear will succeed. You cultivate a culture of teamwork and are committed to supporting our team.

Punctuality is an essential component to your success. On time to you is 10 minutes early to the rest of the world.
You make it habit out of practicing our Spear-IT values: Service, Passion, Empathy, Accountability, Respect, Integrity, and Teamwork in relation to your work, life, and attitude towards others.

Communicate efficiently & effectively 100% with team members and clinics when there are any issues preventing you from completing your task on time.

Impact & Passion: You take pride in making a positive impact on the New York Community and healthcare industry. Your passion ensures that all clinics achieve operational targets, making it easy for patients to connect with our devoted team to receive the care they need.

Ensure to review and work the authorization report every morning
Ensure to review and work the FTB report every day

Collect 97% or greater of the expected completed submission forms.
Respond to voicemail messages and or emails within 2 hours in receipt.
Go that one step further; send a reminder note to providers to complete their authorizations

Empathy & Service: You exhibit 5-star customer service for all Spear patients through empathy. You respond efficiently and accordingly because you understand their feelings and needs.

Ensure proper phone and email etiquette when answering calls and replying to emails i.e., Good Morning, thank you for calling, Spear How can I help you?

Accountability: You are a champion of customer access, accountable for ensuring our financial process never keeps a single New Yorker from getting back to life. You are committed to our patients, and their physicians, by navigating through the financial processes in healthcare to get them the therapist and the treatment they need.

Schedule management

Maintain Claim Delay/Failed to Bill at < 3% weekly

Ensure all open tasks are completed weekly

Ensure all authorizations submissions are sent within 24-48 hr. of initial evaluation.

Work all in-network payor accounts including but not limited to Worker Comp. and No-Fault cases

Update of all received approved authorizations to accounts with in 24hrs.

Communicate with providers daily on items required from them for submission

Ensure Medicare accounts have updated plans of care every 90 days*

Ensure Plans based on medical necessity have updated prescription when current ends

Ensure a claim delay and authorization report is worked daily

Maintain write offs for authorization issues at < 3%, monthly

Requirements - 1 year Physical Therapy Authorization experience preferred.

Your Team

Report to: Central Authorization Manager
Primary Interactions: Regional Dofi, Customer Service Center Team, Care Coordinators, Verifications Specialist, Physical Therapy team, and RCM Manager

We thank all applicants in advance for their interest in this growth opportunity. Spear Physical & Occupational Therapy is an Equal Opportunity Employer.

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