Top 59 Authorization representative Jobs in Uniontown, Pa

Insurance Claims Spec
Uniontown Hospital —Uniontown, PA
- Full-time
- Hospital
- Basic math
- Office
Insurance Claims Spec
UNTWN Uniontown Hospital —Uniontown, PA
- Full-time
- Hospital
- Basic math
- Office
Sales & Service Representative
MRC Global —Monessen, PA
- Full-time
- Mid-level
- Office
- Driver's License
Sales Representative
Lamar Advertising Company —Morgantown, WV
- $55,000 - $85,000 a year
- Full-time
- Research
- Office
- Driver's License
- Wellness program
- Paid parental leave
Quick Apply
Financial Representative
Northwestern Mutual - West Virginia —Morgantown, WV
- $61,000 - $119,000 a year
- Full-time
- Background check
- Bachelor's degree
- US work authorization
- Health savings account
- Health insurance
Quick Apply
Human Resources Coordinator
Penn Line Enterprises, Inc. —Scottdale, PA
- Full-time
- Computer literacy
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Clinical Pharmacy Tech II - Medication History
Uniontown Hospital —Uniontown, PA
- Full-time
- Hospital
- Ability to walk for extended periods
- Writing skills
7d
Patient Access Representative
BayMark Health Services —Morgantown, WV
- Full-time
- Microsoft Excel
- Writing skills
- Pass drug screening
- Health insurance
- Dental insurance
4d
Clinical Pharmacy Tech II - Medication History
UNTWN Uniontown Hospital —Uniontown, PA
- Full-time
- Hospital
- Ability to walk for extended periods
- Writing skills
7d
Parts Counter Person
HUNTER TRUCK SALES & SERVICE LLC —Uniontown, PA
- Full-time
- Dealership
- Ability to walk for extended periods
- Driver's License
- Paid training
- Paid holidays
Quick Apply
Referral Specialist- HYBRID
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Computer literacy
- Writing skills
- Mid-level
Procurement Agent -- PURCHASING -- Mon Medical Center Main Campus
Mon Health —Morgantown, WV
- Full-time
- Hospital
- Research
- Office
Orthotic Fitter-HME
SHC WVUHS Home Care —Uniontown, PA
- Full-time
- Sales
- Writing skills
- Physical & Rehabilitation Medicine
1h
Business Development Representative
Kimcc INC —California, PA
- $60,000 - $80,000 a year
- Full-time
- Remote
- English
- Mid-level
- Business development
- Paid time off
Quick Apply
13d
Parts Counter Person - 2nd Shift
HUNTER TRUCK SALES & SERVICE LLC —Uniontown, PA
- Full-time
- Dealership
- Ability to walk for extended periods
- Driver's License
- Paid training
- Paid holidays
Quick Apply
Registration Rep - MH Wound Care -- MH WOUND CARE -- Mon Health Medical Park- Building 3000
Mon Health —Morgantown, WV
- High school diploma or GED
- Clinic
- Conflict management
Clinical Pharmacy Tech II - Pharmacy Prior Authorizations
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Ability to walk for extended periods
- Writing skills
- Mid-level
Registration Rep - Wedgewood MHMP -- MH WEDGEWOOD PC & PSYCH -- Mon Health Medical Park- Building 10
Mon Health —Morgantown, WV
- Full-time
- High school diploma or GED
- Clinic
- Conflict management
Lead Pharmacy Technician - Operations
Uniontown Hospital —Uniontown, PA
- Full-time
- Hospital
- Ability to walk for extended periods
- Mid-level
- Employee discount
Pharmacy Business Coordinator - Home Infusion
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Writing skills
- Mid-level
- Finance
- Employee discount

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Insurance Claims Spec

Uniontown Hospital -
Uniontown, PA

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Job Details

Full-time

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

This position responsible for assuring all appointments and procedures are authorized. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection. Responsible for minimizing reimbursement errors resulting from inaccuracy of referral and enrollment information.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.

PREFERRED QUALIFICATIONS:

EXPERIENCE:
1. Previous insurance authorization experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.
2. Follows up on accounts as indicated by system flags.
3. Contacts insurance company or employer to determine eligibility and benefits for requested services.
4. Follows up with the patient, insurance company or provider if there are insurance coverage issues in order to obtain financial resolution.
5. Use work queues within the EPIC system for scheduling, transition of care, and billing edits.
6. Performs medical necessity screening as required by third party payors.
7. Documents referrals/authorization/certification numbers in the EPIC system.
8. Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions.
9. Communicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility.
10. Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed.
11. Communicates problems hindering workflow to management in a timely manner.
12. Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information. Maintains current knowledge of major payor payment provisions.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Prolonged periods of sitting.
2. Extended periods on the telephone requiring clarity of hearing and speaking.
3. Manual dexterity required to operate standard office equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.
2. Basic knowledge of medical terminology.
3. Basic knowledge of ICD-10 and CPT coding, third party payors, and business math.
4. General knowledge of time of service collection procedures.
5. Excellent customer service and telephone etiquette.
6. Minimum typing speed of 25 works per minute.
7. Must have reading and comprehension ability.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

UNTWN Uniontown Hospital

Cost Center:

8309 UNTWN Authorization and Surgery Scheduling

Address:

500 W Berkeley Street

Uniontown

Pennsylvania

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

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Refine Your Search

authorization representative jobs in uniontown, pa

Insurance Claims Spec

Insurance Claims Spec

Sales & Service Representative

Sales Representative

Financial Representative

Human Resources Coordinator

Clinical Pharmacy Tech II - Medication History

Patient Access Representative

Clinical Pharmacy Tech II - Medication History

Parts Counter Person

Referral Specialist- HYBRID

Procurement Agent -- PURCHASING -- Mon Medical Center Main Campus

Orthotic Fitter-HME

Business Development Representative

Parts Counter Person - 2nd Shift

Registration Rep - MH Wound Care -- MH WOUND CARE -- Mon Health Medical Park- Building 3000

Clinical Pharmacy Tech II - Pharmacy Prior Authorizations

Registration Rep - Wedgewood MHMP -- MH WEDGEWOOD PC & PSYCH -- Mon Health Medical Park- Building 10

Lead Pharmacy Technician - Operations

Pharmacy Business Coordinator - Home Infusion

I want to receive the latest job alert for authorization representative in uniontown, pa

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