Clinical Authorization Representative

6 days ago


Fall River, Massachusetts, United States Complete Staffing Solutions Full time
Career Opportunity

We are seeking a Clinical Authorization Representative to join our team at Complete Staffing Solutions.

Pay Rate:

$23-26 per hour

Main Responsibilities

The ideal candidate will have experience in prior authorization, insurance, and billing. They will be responsible for determining patient liability, verifying coverage, and communicating with payers.

  • Use strong analytical skills to determine patient financial responsibility.
  • Communicate effectively with patients and payers to resolve claims and denials.
  • Verify patient coverage and initiate authorizations for services.
Qualifications and Requirements

To succeed in this role, the candidate should have strong analytical and communication skills, proficiency in software applications, and excellent problem-solving abilities.

  • Equal to completion of four years of high school plus additional specialized courses or training.
  • Knowledge of medical terminology and billing procedures is essential.


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