Prior Authorization Representative
Company: VirtualVocations
Location: Sugar Land
Posted on: April 14, 2025
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Job Description:
A company is looking for a Prior Authorization Representative
II.
Key Responsibilities
Contact insurance companies for patient eligibility, benefits, and
authorization
Follow-up on delayed or denied authorization requests and
facilitate reviews for medical determination
Serve as a liaison between the payer and clinic staff while
maintaining detailed documentation of authorization history
Required Qualifications
Three years of experience in a health care financial setting, or
equivalent
Six months of experience as a Prior Authorization Rep I or
equivalent prior-authorization experience
Previous experience with insurance and prior authorizations is
preferred
ICD/CPT Coding Certification is preferred
Inpatient and day surgery prior authorizations experience is
preferred
Keywords: VirtualVocations, Beaumont , Prior Authorization Representative, Other , Sugar Land, Texas
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