Authorization Representative

Job Summary

To support the Access Center, the full-time Authorization Representative will identify insurance plans requiring pre-authorization for procedures, document authorization details in billing systems, and verify benefits while working remotely.

Key responsibilities

• Review accounts to determine pre-certification requirements based on established guidelines
• Secure reimbursement and minimize write-offs through proactive follow-up on insurance denials and appeals
• Communicate benefit information to requesting departments and ensure all required authorizations are obtained

Required qualifications

• High school graduate or equivalent (GED); medical terminology preferred
• Minimum of two years of experience in a healthcare setting, call center, or clerical position
• Experience using Microsoft Office applications is required
• Preferred experience includes registration and one year of insurance pre-authorization
• Must demonstrate a working knowledge of general computer skills and applications