Top 26228 Pre certification representative Jobs

Authorization Representative
Innovive Health —Medford, MA
- $20 - $23 an hour
- Full-time
- Travel
- Ability to sit for extended periods
- Experience equivalent to degree accepted
- Continuing education credits
- Mileage reimbursement
Quick Apply
14d
Utilization Management Representative III
Elevance Health —Miami, FL
- Weekends as needed
- Mid-level
- 3 years
- Master's degree
- Employee stock purchase plan
- Paid holidays
6d
Pre-Services Representative - Remote
Surgery Partners —Nashville, TN
- Remote
- Mid-level
- High school diploma or GED
- Conflict management
- Health savings account
- Health insurance
Quick Apply
3d
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
14d
Pre-Service Representative
St Marys Healthcare —Amsterdam, NY
- $18.74 an hour
- Part-time
- Acute care
- Microsoft Excel
- Medical office experience
Quick Apply
Financial Clearance Representative I - Remote
Roswell Park Cancer Institute —Buffalo, NY
- From $21.81 an hour
- Full-time
- Remote
- High school diploma or GED
- 1 year
- Communication skills
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
13d
Customer Service Representative
Planned Systems International, Inc. —Remote
- Seasonal
- Remote
- Background check
- Computer literacy
- Research
- AD&D insurance
- Disability insurance
9d
Billing Department - Pre-Certification Speci
Suburban Hematology Oncology —Lawrenceville, GA
- $24 - $28 an hour
- Full-time
- Clinic experience
- Mid-level
- High school diploma or GED
Quick Apply
Sr. Collections Representative
Quest Diagnostics —Lewisville, TX
- From $21.42 an hour
- Full-time
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Employee stock purchase plan
- Disability insurance
Quick Apply
Urgent Admission Specialist, FT, Days- Remote
Prisma Health —Columbia, SC
- Full-time
- Remote
- Customer service
- Word processing
- Computer literacy
Patient Service Representative - Outpatient Eligibility/Procedural Authorization
Duke Health —Durham, NC
- Full-time
- Remote
- Basic math
- Mid-level
- High school diploma or GED
2d
Lab Assistant (Data Entry Representative I (SP))
Quest Diagnostics —Tucker, GA
- From $17.75 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Ability to sit for extended periods
- Employee stock purchase plan
- Disability insurance
Quick Apply
Contact Center Associate 1 - UHealth Connect (Remote)
University of Miami —Medley, FL
- Full-time
- Remote
- Spanish
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Credit Counselor - Level 1
Navicore Solutions Inc —Remote
- $20 an hour
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Pre-Authorization Representative
SimonMed Imaging —Reno, NV
- Full-time
- Background check
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- Health insurance
Quick Apply
Pre-Service Representative
Ovation Healthcare —Welcome, SC
- Full-time
- Hybrid work
- HIPAA
- High school diploma or GED
- Typing
Contact Center Representative (up to $21.00 DOE)
MedQuest Associates LLC —Winston-Salem, NC
- $18.50 - $21.00 an hour
- Full-time
- High school diploma or GED
- Typing
- 1 year
Quick Apply
Virtual Assistant – Hiring Now
Greater Philadelphia Health Action —Philadelphia, PA
- Email
- Bilingual
- High school diploma or GED
- Typing
- Disability insurance
- Health insurance
Quick Apply
Pre-Arrival Unit Representative
The University of Mississippi Medical Center —Clinton, MS
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
5d

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Authorization Representative

Innovive Health -
Medford, MA

Quick Apply

Job Details

Full-time
$20 - $23 an hour
14 days ago

Benefits

Continuing education credits
Mileage reimbursement
Health insurance
Dental insurance
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Flexible schedule

Qualifications

1 year
Communication skills
Entry level

Full Job Description

Innovive Health provides a supportive environment where clinicians can make a meaningful impact in the lives of patients by delivering care in the comfort of their home.
Our dedicated teams go above and beyond to provide high-quality, compassionate care, and we believe the quality of our employees is the foundation of the care we deliver. Our employees are our biggest asset.

We offer a competitive salary and a generous benefits package.
Flexible Schedules to fit your lifestyle.
Medical, Dental, and Vision Benefit
Mileage Reimbursement
401k with company match
Dayforce Wallet - a voluntary benefit that gives you access to earned pay,
Employee Assistance Program
Online CEU credits
Rewarding one-on-one care,
one-on-one mentoring and 24/7 clinical support
Excellent career growth opportunities

POSITION SUMMARY:
The Authorization Representative is a part of a fast-pace and dynamic department that plays a crucial step in making sure that the patients are eligible to receive our services. The individual filling this position is an ambitious, hands-on problem solver, and effective communicator that will support the achievements of the team. The role includes the following: insurance verifications, obtaining authorizations, and patient eligibility.

RESPONSIBILITIES:

Obtain prior authorization or pre-certification of services to be rendered as required by each individual payor.
Answer incoming telephone calls and triage to appropriate personnel as indicated.
Complete and manage all paperwork or supportive documentation required for performing effective billing.
Re-verify patient eligibility, monitor insurance lifetime caps and prior authorization periods.
Resolve patient/payor issues in a timely manner.
Run various reports to keep up with patient caseload and Utilization Review Maintenance
Participate in departmental, clinical and company meetings as requested.
Participate in required training including, but not limited to, in-service and educational programs.
Performs other duties as assigned.

COMPETENCIES:

Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

REQUIRED QUALIFICATIONS:

Associate degree or equivalent in related work experience
Minimum of 1 years’ experience in an office setting
Proficiency in Microsoft Office

Preferred Education and Experience:

Healthcare experience preferred

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

Occasionally required to stand.
Occasionally required to walk.
Frequently required to sit.
Continually required to use hands and fingers.
Occasionally required climb, balance, bend, stoop, kneel or crawl.
Occasionally required to lift/push light weights (less than 25 pounds).

TRAVEL REQUIREMENTS:

Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 5% or less of the time).
meetings, etc., as needed (approximately 5% or less of the time).

Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Refine Your Search

pre certification representative jobs

Authorization Representative

Utilization Management Representative III

Pre-Services Representative - Remote

Scheduling and Prior Authorization Representative- Remote

Pre-Service Representative

Financial Clearance Representative I - Remote

Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization

Customer Service Representative

Billing Department - Pre-Certification Speci

Sr. Collections Representative

Urgent Admission Specialist, FT, Days- Remote

Patient Service Representative - Outpatient Eligibility/Procedural Authorization

Lab Assistant (Data Entry Representative I (SP))

Contact Center Associate 1 - UHealth Connect (Remote)

Credit Counselor - Level 1

Pre-Authorization Representative

Pre-Service Representative

Contact Center Representative (up to $21.00 DOE)

Virtual Assistant – Hiring Now

Pre-Arrival Unit Representative

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