Coordinating prior authorization and referral processes for patients, the full-time Prior Authorization Representative will manage scheduling, validate health plan coverage, and facilitate communication between patients and healthcare providers in a hybrid work environment. Key responsibilities Engage with providers and patients to confirm health plan coverage and manage prior authorization requests Coordinate scheduling of patient appointments with internal and external departments, clinics, and hospitals Monitor and update systems regarding prior authorization and referral requests to ensure accurate information flow Required qualifications High School diploma or GED Minimum of one year experience in a hospital, clinic, or medical insurance billing office Basic understanding of medical coding Proficiency in electronic medical records systems and MS Office applications Ability to perform basic to intermediate math calculations
Prior Authorization Representative in workfromhome at Unknown Company
This position is listed as full time and hybrid.