Pre-authorization Representative
A company is looking for a Pre-authorization Representative in Healthcare. Key Responsibilities Manage authorizations and notifications received via phone calls, faxes, and portal submissions Provide excellent customer service, including handling escalated callers and confirming member eligibility Coordinate Network Operations processes and prepare authorization cases for Medical Directors and Case Managers Required Qualifications High School Diploma / GED (or higher) 2+ years of experience in healthcare, call center, or customer service settings Proficiency with Microsoft Office applications, including Word, Excel, and Outlook Knowledge of Medical Terminology and ICD-9/ICD-10 and CPT codes Ability to work varying shifts to support 24/7 operations
A company is looking for a Pre-authorization Representative in Healthcare.
Key Responsibilities
Manage authorizations and notifications received via phone calls, faxes, and portal submissions
Provide excellent customer service, including handling escalated callers and confirming member eligibility
Coordinate Network Operations processes and prepare authorization cases for Medical Directors and Case Managers
Required Qualifications
High School Diploma / GED (or higher)
2+ years of experience in healthcare, call center, or customer service settings
Proficiency with Microsoft Office applications, including Word, Excel, and Outlook
Knowledge of Medical Terminology and ICD-9/ICD-10 and CPT codes
Ability to work varying shifts to support 24/7 operations
