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Job Title: Prior Authorization Representative
Location: Stamford, Connecticut
Pay: $19 - $22/hr
Hours: 8am - 4pm or 9am - 5pm, Monday - Friday
Start Date: ASAP
Job Summary:
The Prior Authorization Representative is responsible for securing insurance pre-certification and pre-authorization for scheduled Infusion Center services and treatments. This on-site role involves direct communication with patients, staff, and providers. The representative will pre-register patients in Meditech, verify insurance eligibility, and obtain necessary authorizations from payers. This position serves as the primary liaison within the Infusion Center, working closely with referring provider offices, patient access staff, insurance carriers, and patients to ensure smooth and timely processing of insurance authorizations.
Key Responsibilities:
Qualifications/Requirements:
- High School Diploma or equivalent.
- Minimum of 2 years of experience in medical coding and/or billing, with knowledge of CPT/HCPCS and ICD-10 coding; familiarity with IV drug administration coding and billing is a plus.
- Strong computer skills, particularly in Microsoft Outlook, Word, and Excel.
- Ability to multi-task, adapt to new systems, and work effectively under pressure.
- Excellent communication skills, both verbal and written; bilingual skills are a plus.
- Professionalism, respect, and a commitment to providing high-quality customer service.
- Dependability, punctuality, and a strong sense of integrity and accountability.
- Ability to work well as part of a team and respond positively to direction and constructive feedback.
- Adherence to departmental and organizational policies, with a commitment to continuous learning and development.