What are the responsibilities and job description for the Access Ctr Authorization Rep position at Parkview Health?
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Primary duty is to identify insurances requiring pre-authorization for scheduled procedures, ensuring pre-authorization is obtained. Responsible for accurately documenting pertinent authorization information in all related billing systems. Responsible for benefit verification for identified services and communicating benefit details to requesting department. Requirements include the ability to perform at a high level and multitask in fast-paced environment; excellent communication, attention to detail, problem-solving, troubleshooting, and time management skills. Coworker must be able to adapt to constant change and perform in a stressful environment. Coworker is responsible for data integrity in all systems utilized for job functions. Responsible for the delivery of Parkview Health Standards of Behavior, quality performance, and service excellence. Responsible for evaluating each account individually, in a timely manner, to determine the appropriate pre-certification requirements based on established criteria. This role is key to securing reimbursement and minimizing organizational write-offs by following up on denials and appeals to obtain approval from insurance companies. |
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Must be a high school graduate or the equivalent with GED. Medical terminology preferred. |
Experience
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Minimum of two years experience in health care setting, call center, or clerical position, including experience using Microsoft Office applications required. Registration experience preferred. One year insurance pre-authorization experience preferred. |
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Must have excellent verbal and written communication skills. Must be able to demonstrate a working knowledge of general computer skills and applications. Demonstrate ability to multitask and work independently using critical thinking skills. |
