Benefits :

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

We are hiring for a full-time Authorization Representative. The applicant should have knowledge in the following areas :

• Verify insurance eligibility
• Verify co-insurance and / or out-of-pocket costs for procedures
• Review clinic notes and that they are properly documented based on the procedure needing authorization
• Verify guidelines and that proper documents are gathered based on each procedure. Eg : clinic note documentation, orders, imaging
• Obtain prior authorization via insurance portals or by calling for procedures and imaging
• Submit appeals for denied procedures as deemed necessary
• Conduct peer to peer review with doctors as needed
• Work with procedure scheduling to ensure procedures are being scheduled accordingly based on whether we obtained authorization.

Last updated : 2024-04-24