The job below is no longer available.
You might also like
in Cleveland, OH
- $22
est. per hour ALDI • 5d agoUrgently hiring 19.2 mi Use left and right arrow keys to navigate 
$63est. per hour Fifth Third Bank • 8h agoUrgently hiring 1.3 mi Use left and right arrow keys to navigate- $18
est. per hour Fifth Third Bank • 8h agoUrgently hiring 1.3 mi Use left and right arrow keys to navigate - $14
est. per hour Giant Eagle • 10h agoUrgently hiring 5.8 mi Use left and right arrow keys to navigate - $14
est. per hour Giant Eagle • 10h agoUrgently hiring 5.8 mi Use left and right arrow keys to navigate
Authorization Rep I-Pharmacy
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Cleveland, OH Cleveland, Ohio |
About this job
Job Summary:
Provides a comprehensive set of insurance authorization services.
Responsibilities:
* Cross-trained to staff all areas of Authorization supporting any facility, including but not limited to verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.
* May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Maintains productivity and quality expectations set forth by department.
* Performs some registration input in order to ensure accurate patient information for the authorization process.
* Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Communicates with physician offices to obtain clinical information and/or coordinate peer-to-per conversations.
* Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Other duties as assigned.
Education:
* High school diploma or equivalent.
Certifications:
* None required.
Work Experience:
* Minimum of 2 years of experience in a customer facing role with in person or phone contact.
* Candidate must demonstrate PC skills efficiency.
* Ability to multitask within multiple accounts in high volume insurance verification processes.
* An Associate's degree may substitute for up to one year of the stated experience.
* A Bachelor's degree my substitute for up to two years of the stated experience.
Physical Requirements:
* Sufficient mobility and strength to move around the department and throughout the facility.
* Ability to stand or sit for prolonged periods of time.
* Excessive walking and standing while obtaining patient information when using laptop computer on wheeled device for bedside registration.
* Ability to lift 25 pounds.
Personal Protective Equipment:
* Follows Standard Precautions using personal protective equipment.
Provides a comprehensive set of insurance authorization services.
Responsibilities:
* Cross-trained to staff all areas of Authorization supporting any facility, including but not limited to verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.
* May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Maintains productivity and quality expectations set forth by department.
* Performs some registration input in order to ensure accurate patient information for the authorization process.
* Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Communicates with physician offices to obtain clinical information and/or coordinate peer-to-per conversations.
* Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
* Other duties as assigned.
Education:
* High school diploma or equivalent.
Certifications:
* None required.
Work Experience:
* Minimum of 2 years of experience in a customer facing role with in person or phone contact.
* Candidate must demonstrate PC skills efficiency.
* Ability to multitask within multiple accounts in high volume insurance verification processes.
* An Associate's degree may substitute for up to one year of the stated experience.
* A Bachelor's degree my substitute for up to two years of the stated experience.
Physical Requirements:
* Sufficient mobility and strength to move around the department and throughout the facility.
* Ability to stand or sit for prolonged periods of time.
* Excessive walking and standing while obtaining patient information when using laptop computer on wheeled device for bedside registration.
* Ability to lift 25 pounds.
Personal Protective Equipment:
* Follows Standard Precautions using personal protective equipment.
Your Privacy Choices