Patient Services Representative, Authorizations

AOTI

Exton, PA, United States
Base: $22.00 - $24.00; bonus/equity: not specified...
On-site
Prior authorization process management
Insurance verification and eligibility checks
Medical coding and billing accuracy
The role is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers

Job Summary

  • The role is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.
  • Employees will handle medical coding, billing for third-party and direct claims, and review claims for accuracy before submission.
  • The company offers a comprehensive benefits package including a 401(k) match, paid volunteer time off, and car allowance.

Matching Summary

The role is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.

Salary

Base: $22.00 - $24.00; Bonus/Equity: Not specified; Benefits: Full benefits with stipend, 401(k) match, disability insurance, paid holidays, vacation, sick time, volunteer time off, referral bonuses, car allowance, fuel reimbursement

Skills & Requirements

Must-have

  • Prior authorization process management
  • Insurance verification and eligibility checks
  • Medical coding and billing accuracy
  • HIPAA compliance and patient confidentiality
  • Claims review and submission processes
  • Customer service for wound care consultants

Nice-to-have

  • Experience with GoCanvas or ERP systems
  • Ability to train new department hires
  • Cross-trained in collections follow-up
  • Strong relationship building skills
  • Proactive communication across departments

Key Requirements

  • Understanding of patient confidentiality (HIPAA)
  • Proficiency in insurance verification processes
  • Experience with medical coding and billing
  • Ability to work hybrid or remote

Work Rights

Not specified

Tailored Resume

Cover Letter