Jobs 1 - 10 out of 10 for Prior Authorization Representative

Provides clerical support to assist in the delivery of quality healthcare services via a Financial Clearance model by way of obtaining accurate and timely authorizations. Staff will be trained in various clinical service lines with the ability to support multiple areas within the Central Authorizati...

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions an...

The Insurance Prior Authorization Submission Representative works to achieve submission success by ensuring timely, accurate, and compliant insurance authorization submissions for mobility equipment and related services. Responsibilities include verifying and reviewing insurance orders and clinical ...

Take incoming calls from members and providers, providing professional phone assistance through the prior authorization process. Maintain complete and accurate documentation of approvals and denials, and transfer clinical questions to the pharmacist.

Be a patient advocate by helping patients understand their financial responsibilities and available payment alternatives. Ensure accuracy in patient records, provide financial education, manage prior authorizations, work closely with providers and insurance companies, handle denials and appeals, mai...

The Prior Authorizations and Scheduling Representative is responsible for the pre-registration of patients to the hospital for medical services, ensuring patient demographics and insurance coverage are verified, obtaining updated copies of insurance cards, reviewing clinical data against medical ter...

Responsible for discussing insurance coverage, verifying benefits, securing prior approvals, maintaining proficiency with insurance and billing issues, providing customer service, and entering patient insurance information.

Responsible for discussing insurance coverage, verifying benefits, securing prior-approvals, maintaining proficiency with insurance and billing issues, and providing excellent customer service to patients regarding billing and credit policies.

The Clinic Pre-encounter Representative & Patient Access Specialist handles managing the complete patient access process, including scheduling, pre-registration, registration, insurance verification, and prior authorization. This position ensures smooth patient experience, compliance with payer guid...

This position will work closely with the Benefits Verification Team to validate patient’s insurance plans, prescriptions and eligibility. Responsibilities include reading prescriptions, converting prescriptions into authorizations, interpreting medical policies, contacting physician’s offices to val...