Patient Access Services Authorization Representative

Posted 35ds ago

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Job Description

Authorization Representative performing insurance verification and authorization functions. Supporting Patient Access Services within a prominent healthcare system.

Responsibilities:

  • Perform insurance verification and authorization functions that support Patient Access Services
  • Ensure compliance with department standards and billing requirements
  • Complete authorization initiation requests with payers for all service lines
  • Validate existing authorizations requested by providers
  • Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff
  • Responds to "provider orders" for tests and procedures
  • Obtains authorizations for visits required by various payers

Requirements:

  • 2 or more years of healthcare insurance authorizations (Imaging, Surgery, Pharmacy, or other procedures)
  • 1+ years of health insurance experience
  • Basic knowledge of CPT and ICD Codes
  • Reliable internet (NO WIFI, Ethernet Connection only)
  • Quiet work area/home office
  • Excellent customer service skills
  • Problem-solving skills

Benefits:

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development