Authorization Representative

Jefferson Health

Abington, Pennsylvania, United States of America
Not specified; not specified; comprehensive benefi...
Not specified
Insurance benefits verification experience
Prior authorization coordination skills
Medical necessity review capabilities
Jefferson Health is seeking an Authorization Representative to coordinate insurance benefits verification and secure prior authorizations for various medical services. The ideal candidate should have at least one year of experience in healthcare insurance verification and a solid understanding of medical necessity requirements and insurance guidelines

Job Summary

  • The role involves coordinating insurance benefits verification and securing prior authorizations for various medical services to ensure timely reimbursement.
  • Candidates 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 employees.

Matching Summary

Match Score: 85

Jefferson Health is seeking an Authorization Representative to coordinate insurance benefits verification and secure prior authorizations for various medical services. The ideal candidate should have at least one year of experience in healthcare insurance verification and a solid understanding of medical necessity requirements and insurance guidelines.

Salary

Not specified; Not specified; Comprehensive benefits package including medical, dental, vision, life insurance, disability, retirement plans, and tuition assistance

Skills & Requirements

Must-have

  • Insurance benefits verification experience
  • Prior authorization coordination skills
  • Medical necessity review capabilities
  • EHR systems proficiency
  • CPT ICD-10 coding knowledge

Nice-to-have

  • Associate's degree in health administration
  • Experience with multiple insurance payers
  • Understanding of patient rights laws

Key Requirements

  • High School Diploma or GED required
  • 1 year healthcare insurance verification experience
  • Knowledge of CPT, ICD-10, and HCPCS coding
  • Familiarity with electronic health record systems

Work Rights

Not specified

Tailored Resume

Cover Letter