Pre-authorization Representative

Job Summary

A company is looking for a Pre-authorization Representative in Healthcare.

Key Responsibilities

• Manage authorizations and notifications for service requests via calls, faxes, and portals
• Provide excellent customer service and handle escalated calls effectively
• Coordinate with Medical Directors and clinical staff for authorization cases and maintain production standards

Required Qualifications

• High School Diploma / GED (or higher)
• 2+ years of experience in healthcare, call center, or customer service settings
• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook
• Knowledge of Medical Terminology, ICD-9/ICD-10, and CPT codes
• Must have a HIPAA-compliant dedicated work area and secure handling of sensitive documents