Thomas Jefferson University is seeking an Authorization Representative in Abington, Pennsylvania, to coordinate insurance benefits verification and secure prior authorizations for various healthcare services. The ideal candidate should have at least one year of experience in healthcare insurance verification and a solid understanding of medical necessity requirements
Job Summary
The role coordinates insurance benefits verification and secures prior authorizations for various medical procedures and services to ensure timely reimbursement.
Employees must interpret payer-specific authorization requirements and collaborate with physicians to secure appropriate referrals based on medical necessity.
Jefferson Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and tuition assistance for eligible colleagues.
Matching Summary
Match Score: 85
Thomas Jefferson University is seeking an Authorization Representative in Abington, Pennsylvania, to coordinate insurance benefits verification and secure prior authorizations for various healthcare services. The ideal candidate should have at least one year of experience in healthcare insurance verification and a solid understanding of medical necessity requirements.
Skills & Requirements
Must-have
Insurance benefits verification experience
Prior authorization coordination skills
Medical necessity review capabilities
EHR system proficiency required
CPT ICD-10 coding knowledge
Nice-to-have
Associate's degree in health administration
Understanding of patient rights laws
Experience with multiple insurance payers
Key Requirements
High School Diploma or GED required
1 year healthcare insurance verification experience