<p>Our client is looking for a preauthorization representative to join the team on a contract basis. This role will be at least 2 months and will be a hybrid work schedule. </p><p><br></p><p>Responsibilities:</p><p>• Verify patient insurance eligibility and benefits for office visits, diagnostic tests, surgeries, and inpatient admissions.</p><p>• Obtain and document referral information and modifications for specialty care and testing within the computer system.</p><p>• Secure precertification or preauthorization numbers from insurance providers ahead of procedures and diagnostic tests.</p><p>• Assist patients in scheduling new office visits with healthcare providers.</p><p>• Generate and distribute inpatient and outpatient service lists to surgeons and consultants.</p><p>• Accurately complete patient demographic and insurance fields in the system to process claims efficiently.</p><p>• Identify and correct account errors within specified deadlines.</p><p>• Collaborate with physicians, insurance companies, and internal staff to ensure proper authorization and status updates.</p><p>• Maintain a daily productivity average of at least 30 authorizations with high accuracy.</p><p>• Work mandatory overtime when business needs require.</p>

<p>• High school diploma or equivalent is required.</p><p>• At least two years of experience in precertification or a related field.</p><p>• Strong understanding of managed care processes, including referrals, insurance verification, and precertification.</p><p>• Familiarity with ICD-9 and ICD-10.</p><p>• Proficiency in computer applications, including Microsoft Word, Excel</p><p>• Analytical skills to assess trends and implement effective billing approaches.</p><p>• Ability to perform accurate data entry with a minimum typing speed of 40 words per minute.</p><p>• Excellent organizational, problem-solving, and interpersonal skills.</p><p><br></p><p>Apply today if you are interested! </p>

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