Interim Remote Pre- Authorization Rep

2 weeks ago


Austin, United States Nearterm Corporation Full time

**************** Proven Remote Pre-Authorizations Rep *******************


  • The Patient Access Authorization Specialist performs insurance authorization. Functions are primarily completed via website and/or phone and include insurance verification, authorization, payor notification and ensuring that the correct date of service, facility, diagnosis and service/exam type are documented. *The specialist may also escalate authorization requests in order to facilitate peer to peer discussions between the payor and provider or notify the provider’s office of denials. *Authorization capture is time sensitive in order to avoid delays to patient care.
  • The Authorization Specialist ensures that all contact with patients, providers and payors is documented with detailed notes included for each account worked.
  • Capture post service or retro authorizations or support additional functions including scheduling, registration, financial navigation, medical necessity, patient liability notification and screening. *Work closely with clinical care teams and at times will support Access functions within the clinical care environment.
  • Provide internal and external customer service support for clinicians, patients and families.
  • Must be sensitive patient situations.
  • Must convey a caring and professional attitude in all interactions. Partnership with Care Management.
  • Authorization for urgent and emergent admission,high dollar o/p and surgical procedures
  • Must have 5 years plus Pre-Authorization Experience
  • Must have Hospital Experience
  • Must have Epic Grand Central Experience


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