Prior Authorization Representative

A company is looking for a Prior Authorizations and Referral Management Representative.

Key Responsibilities

Coordinate prior authorization and referral processes for patients

Validate patient health plan coverage and communicate necessary information to health plans

Facilitate scheduling and manage patient orders through the system

Required Qualifications, Training, and Education

High School diploma or GED required; college-level coursework preferred

Minimum of one year experience in a hospital, clinic, or medical insurance billing office

Basic understanding of medical coding

Ability to work independently and as part of a care team

Intermediate experience with electronic medical records systems and MS Office applications