Top 25008 Authorization representative Jobs

Healthcare Collections Representative
APR Consulting Inc —Los Angeles, CA
- $28 an hour
- Contract
- Microsoft Excel
- HIPAA
- Research
Quick Apply
11d
Authorization Representative
Therapeutic Associates Physical Therapy —Remote
- $17 - $20 an hour
- Full-time
- Remote
- Customer service
- Medical office experience
- Physical & Rehabilitation Medicine
- Profit sharing
- Wellness program
Quick Apply
Scheduling and Prior Authorization Representative- Remote
McKenzie Health —Watford City, ND
- Weekends as needed
- Remote
- Background check
- Word processing
- Computer literacy
- 403(b) matching
- Employee assistance program
Quick Apply
Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Medical Order Specialist (REMOTE)
Aveanna Healthcare —Oklahoma City, OK
- $17 - $19 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
- Paid holidays
- Dental insurance
Quick Apply
Eligibility, Benefits, & Prior Authorization Specialist
Autism Diagnosis Group —Remote
- $600 - $800 a month
- Full-time
- Remote
- English
- Clinic experience
- Mid-level
Quick Apply
18h
Representative - Patient Access L1
Atlas Healthcare Partners —Remote
- $19.23 - $28.85 an hour
- Full-time
- Remote
- Word processing
- Writing skills
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
3d
Pharmacy Care Representative - Work From Home Texas (MST or CST)
CVS Health —Texas
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Pharmacy Care Representative - Work From Home Illinois
CVS Health —Illinois
- $17.00 - $31.30 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Patient Support Representative
Sunrise Hospital and Medical Center —Las Vegas, NV
- $15.46 - $23.19 an hour
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
2d
Pharmacy Technician - Work From Home Arizona
CVS Health —Arizona
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Documentation and Authorization Specialist
Symbria —Woodridge, IL
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- 401(k)
- Paid time off
Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization
Optum —Minneapolis, MN
- $16 - $29 an hour
- Full-time
- Remote
- 18 years or older
- Customer service
- Pass drug screening
Member Services Representative
Versant Health —Remote
- $19 - $21 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Pharmacy Care Representative - Work From Home Pennsylvania
CVS Health —Pennsylvania
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Pharmacy Service Representative Associate, Geisinger Health Plan (Pennsylvania resident)
Geisinger —Remote
- Full-time
- Remote
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Prior Authorization Representative
Orsini Healthcare —Elk Grove Village, IL
- $23 an hour
- Overtime
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Eligibility and Benefits Specialist
Oshi Health —Houston, TX
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
10d
Payor Specialist- Weekends
SYSTEM West Virginia University Health System —Remote
- Weekends as needed
- Remote
- Computer literacy
- Mid-level
- Office

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Healthcare Collections Representative

APR Consulting Inc -
Los Angeles, CA

Quick Apply

Job Details

Contract
$28 an hour
11 days ago

Qualifications

Customer communication
Microsoft Excel
Medicare
Managed care
Regulatory compliance in claims processing
Employee relationship building
High school diploma or GED
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Productivity software
Medical debt collection accounts

Full Job Description

APR Consulting, Inc. has been engaged to identify a Collections Representative

Location: Los Angeles, CA 90024
Position: Collections Representative
Pay Rate: $28/hr
Duration: 17 weeks
Expected Shift: 40 hrs/week
8am to 5pm
Will train onsite. Once trained, will work remotely

Position Summary
The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations, billing guidelines, and timely filing requirements while maintaining account accuracy and maximizing reimbursement.

Minimum Qualifications
• High school diploma or equivalent required.
• 2-5 years of experience in Medicare Billing and collection for inpatient and outpatient
• Proficiency with standard office equipment and computer applications.

Key Responsibilities
Claims Billing & Processing
• Review and analyze accounts to determine appropriate billing procedures based on payer type, financial class, and claim requirements.
• Prepare, review, and submit electronic and paper claims in accordance with federal, state, payer, and organizational guidelines.
• Verify claim accuracy, including demographics, charges, authorizations, coding, and supporting documentation.
• Research and obtain missing information from internal departments and external sources as needed.
• Monitor and resolve claim edits, rejections, denials, and billing exceptions.
• Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.
• Ensure compliance with timely filing requirements and payer regulations.
• Identify and bill capitated services to the appropriate responsible party.
• Maintain claim management systems and resolve claim scrubber edits and billing holds.
Account Maintenance & Adjustments
• Process account corrections, adjustments, transfers, rebills, and write-offs according to departmental procedures.
• Update payer, case, and account information accurately and document all actions taken.
• Submit adjustment requests requiring management approval when applicable.
• Maintain accurate account notes and billing documentation within patient accounting systems.
Documentation & Compliance
• Document billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately.
• Protect patient confidentiality and comply with HIPAA and organizational privacy standards.
• Adhere to all regulatory requirements, hospital policies, and billing compliance guidelines.
Quality & Performance
• Maintain established productivity and quality standards.
• Monitor accounts to ensure timely claim submission and follow-up.
• Communicate billing issues, trends, and operational concerns to leadership.
• Participate in performance improvement initiatives and process enhancement efforts.
• Support special projects and departmental objectives as assigned.
Customer Service
• Provide professional and courteous service to patients, payers, and internal stakeholders.
• Demonstrate effective communication and problem-solving skills.
• Foster positive working relationships across departments and with external partners.
Required Knowledge & Skills
• Knowledge of hospital billing practices, government payer regulations, and managed care contracts.
• Experience with electronic claims processing and patient accounting systems.
• Proficiency in Microsoft Office applications, including Word and Excel.
• Strong analytical, organizational, and problem-solving skills.
• Ability to manage multiple priorities and meet productivity and quality expectations.
• Knowledge of healthcare billing software and payer portals preferred.

Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.

Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!

Quick Apply

Refine Your Search

authorization representative jobs

Healthcare Collections Representative

Authorization Representative

Scheduling and Prior Authorization Representative- Remote

Insurance Authorization Specialist II

Authorization Specialist - Revenue Cycle Management

Medical Order Specialist (REMOTE)

Eligibility, Benefits, & Prior Authorization Specialist

Representative - Patient Access L1

Pharmacy Care Representative - Work From Home Texas (MST or CST)

Pharmacy Care Representative - Work From Home Illinois

Patient Support Representative

Pharmacy Technician - Work From Home Arizona

Documentation and Authorization Specialist

Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization

Member Services Representative

Pharmacy Care Representative - Work From Home Pennsylvania

Pharmacy Service Representative Associate, Geisinger Health Plan (Pennsylvania resident)

Prior Authorization Representative

Eligibility and Benefits Specialist

Payor Specialist- Weekends

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