Top 185 Authorization representative Jobs in Charlotte, Nc

Insurance Clearance Representative
Atrium Health —Charlotte, NC
- $21.85 - $32.80 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- HIPAA
- Paid parental leave
- Disability insurance
16h
Crew Scheduler
PSA Airlines —Charlotte, NC
- Full-time
- Customer service
- Computer literacy
- Pass drug screening
- On-the-job training
Patient Service Representative - Atrium Health Corporate PRN
Atrium Health —Charlotte, NC
- $22 an hour
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Bachelor's degree
- Paid parental leave
- Disability insurance
1d
Emergency Services Representative (On-Site)
Concentrix —Charlotte, NC
- $27.10 - $31.84 an hour
- Urgently hiring
- CPR Certification
- Residential
- US work authorization
- Paid training
- Paid holidays
Patient Representative - Full time, daytime
Charlotte Radiology —Charlotte, NC
- Overtime
- Computer literacy
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Landside Operations Specialist
City of Charlotte —Charlotte, NC
- $25.00 - $35.13 an hour
- Overtime
- Background check
- Microsoft Outlook
- Writing skills
- Free parking
2d
Customer Service Representative - Charlotte, NC - $22 - ONSITE ROLE
CCS —Charlotte, NC
- Weekends as needed
- Computer literacy
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
1d
Procedure Scheduler CMG
CaroMont Health —Gastonia, NC
- Full-time
- Medical office experience
- Mid-level
- 3 years
Provider Engagement Specialist – Field Remote (Charlotte, NC)
Alignment Healthcare USA, LLC —Charlotte, NC
- $54,434 - $81,651 a year
- Extended hours
- Remote
- Spanish
- Computer literacy
- Bachelor of Science
Quick Apply
2d
Intake Representative
KabaFusion —Charlotte, NC
- Full-time
- Mid-level
- High school diploma or GED
- Commercial
- Paid holidays
- Disability insurance
Quick Apply
Patient Representative - PRN, travel to all locations, daytime
Charlotte Radiology —Charlotte, NC
- Overtime
- Computer literacy
- Outpatient experience
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Account Development Representative - Charlotte, NC. St. Louis, MO, Austin, TX
Siemens —Charlotte, NC
- $35.09 - $70.19 an hour
- Full-time
- Hybrid work
- Research
- Office
- Business development
Night Auditor
Aloft Charlotte City Center —Charlotte, NC
- Part-time
- Microsoft Word
- English
- Hotel
Quick Apply
Associate Director, Enterprise HR Communications
RTX Corporate —Charlotte, NC
- $157,200 - $298,800 a year
- Full-time
- Management
- Continuous improvement
- Travel
- Paid holidays
- Loan repayment program
5d
Medical Office Insurance Representative
Foot and Ankle Associates —Charlotte, NC
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid holidays
Quick Apply
Inventory & Warehouse Supervisor- 1st Shift
City of Charlotte —Charlotte, NC
- $66,826.00 - $96,061.79 a year
- Overtime
- Background check
- Heavy lifting
- Customer service
9d
Clinical Manager, Enabling Technologies - Charlotte, NC
Medtronic —Charlotte, NC
- $120,000 - $180,000 a year
- Full-time
- Ability to walk for extended periods
- Driver's License
- Bachelor's degree
- Health savings account
- Employee stock purchase plan
7d
Payroll Senior Analyst (Hybrid)
RTX Corporate —Charlotte, NC
- $68,900 - $131,100 a year
- Extended hours
- Hybrid work
- Microsoft Excel
- Office
- Finance
- Paid holidays
- Disability insurance
5d
Inventory & Warehouse Supervisor-2nd Shift
City of Charlotte —Charlotte, NC
- $66,826.00 - $96,061.79 a year
- Overtime
- Background check
- Heavy lifting
- Customer service
4d
Data Support Specialist
DAYMARK RECOVERY SERVICES INC —Concord, NC
- $16 - $18 an hour
- Addiction Medicine
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply

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Insurance Clearance Representative

Atrium Health -
Charlotte, NC

Apply Now

Job Details

Full-time
$21.85 - $32.80 an hour
16 hours ago

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Parental leave
Vision insurance
Retirement plan

Qualifications

Computer operation
Customer communication
Anatomy knowledge
Computer literacy
High school diploma or GED
Math
Medical terminology

Full Job Description

Department:

13267 Enterprise Revenue Cycle - Compliance Policy and Support Services

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

Remote M-F

Pay Range:

$21.85 - $32.80

Major Responsibilities:

Acquires and maintains current knowledge of all payor requirements as it relates to patient/hospital responsibility for authorizations and hospital billing, including all Federal and State regulations. Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly. Uses resources to determine appropriate procedure codes for authorization to ensure appropriate reimbursement.
Consults with patient and appropriate departments for uninsured status, uncovered services, out of network status and situations where the only insurance is Third Party Liability or Workers Compensation and provides next steps. Initiates communication to the patient when authorization is not obtained and explains the potential financial responsibility.
Maintains knowledge of all stand-alone computer software programs to verify eligibility and authorization.
Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage. Identifies at risk balances related to Medicaid eligibility rules and communicates to Financial Counseling, Utilization Management, and physicians.
Manages incoming and outgoing calls to complete pre-registration with patients. Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with the specialized needs, and preparing necessary documents/records when necessary. Ensures accurate entry of patient demographic and insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data.
Generates and processes all required documents for completion of registration, providing detailed education to the patient on the documents and forms requiring patient signature.
Participates in department staff meetings and keeps abreast of continuing education to ensure effective communication and to maintain skill competency. Seeks out education opportunities to increase knowledge in department procedures as it relates specifically to scheduling needs for that area.
Attends all mandatory in-services 100% and completes all mandatory safety in-services and skill competencies as required. Actively participates in group projects to problem solve department issues.
Operational knowledge of the various Advocate Aurora Health departments so that patient, visitor, and fellow employee questions are answered or referred in an appropriate manner. Maintains confidentiality of patients records by following HIPAA and all compliance policies and guidelines.

Licensure, Registration, and/or Certification Required:

None Required.

Education Required:

High School Graduate.

Experience Required:

Typically requires 1 year of experience in health care, insurance industry, call center or customer service setting.

Knowledge, Skills & Abilities Required:

Ability to problem solve in a high profile and high stress area.
Ability to prioritize and organize workload.
Mathematical aptitude, effective communication, and critical thinking skills.
Understanding of basic human anatomy and medical terminology.
Excellent verbal and written communication skills.
General computer knowledge.

Physical Requirements and Working Conditions:

Must be able to sit most of the workday.
May include intermittent light travel.
Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Acts as a point of contact for customers, both internal and external, and assists patients and providers by supporting the coordination of care process. Supports preservice activity and accurately performs authorization clearance functions related to a patient’s upcoming care. Authorization Clearance functions provided include, but are not limited to, identification and evaluation of benefits, consulting with patient and providers regarding authorization status, accurately collecting and analyzing clinical data in support of prior authorization as required by payor guidelines to obtain authorization for the upcoming event.

Apply Now

Refine Your Search

authorization representative jobs in charlotte, nc

Insurance Clearance Representative

Crew Scheduler

Patient Service Representative - Atrium Health Corporate PRN

Emergency Services Representative (On-Site)

Patient Representative - Full time, daytime

Landside Operations Specialist

Customer Service Representative - Charlotte, NC - $22 - ONSITE ROLE

Procedure Scheduler CMG

Provider Engagement Specialist – Field Remote (Charlotte, NC)

Intake Representative

Patient Representative - PRN, travel to all locations, daytime

Account Development Representative - Charlotte, NC. St. Louis, MO, Austin, TX

Night Auditor

Associate Director, Enterprise HR Communications

Medical Office Insurance Representative

Inventory & Warehouse Supervisor- 1st Shift

Clinical Manager, Enabling Technologies - Charlotte, NC

Payroll Senior Analyst (Hybrid)

Inventory & Warehouse Supervisor-2nd Shift

Data Support Specialist

I want to receive the latest job alert for authorization representative in charlotte, nc

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