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Prior Authorizations Representative

Posted: July 10, 2024
Salary:US$20 - US$22 per hour + PTO, Health/Dental/Vision Benefit Coverage
Job type: Contract
Discipline:Revenue Cycle
Work Location:On-site

Job description

Key Responsibilities:

  • Collect, verify and enter into Epic the patient's demographic, employer, financial, emergency contact, insurance, subscriber and case-specific information, such as referring physician and diagnosis

  • Possess the knowledge and skill to consistently utilize software in obtaining information, such as, Search America, Nebo, CarePricer, One Source, Availity and other online resources etc.

  • Consistently and accurately obtain and interpret the patient's insurance benefits and possess the ability to communicate this information accurately to the patient and co-workers

  • Have the ability to determine the patient's financial obligation and communicate this information accurately and with respect to the patient

  • Possess a thorough knowledge of payers and be able to explain coverage-related concepts to the patients, i.e. pre-certification and out-of-network

  • Have a thorough knowledge of the Medical Center's and department's policies and procedures

Pay rate: $20 - $22/hr