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Authorizations Representative in Pasadena, CA at Premier Healthcare Services

Date Posted: 3/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    790 East Colorado Boulevard
    Pasadena, CA
  • Job Type:
    Admin - Clerical
  • Experience:
    Not Specified
  • Date Posted:
    3/30/2018

Job Description

The Authorization Representative is responsible for providing accurate and complete data input for precertification of patients, including working directly with Home Health Management to ensure that patients have appropriate authorization for services. This position is responsible for keeping the Authorization Manager informed on a regular basis and of any arising issues.


 


WHAT PREMIER OFFERS:



  • WEEKLY pay (competitive rate).

  • BENEFITS: Medical, Dental, Vision, vacations/sick days, life insurance, and 401(k).

  • Generous referral BONUSES.

  • Make a difference in a child/adult's life.

  • FUN, POSITIVE, and PROFESSIONAL work environment.

  • Employee appreciation events & employee recognition awards.

  • Weekly core values meeting, regular paid trainings & orientations.

  • Monthly and quarterly office outings, and an annual company-wide beach party.

Job Requirements

AUTHORIZATION REPRESENTATIVE RESPONSIBILITIES:



  • Verifies insurance benefits and coverage in a timely manner.

  • Validates insurance information for accuracy and completeness.

  • Submit TAR's and Authorization Request timely.

  • Entering data in an accurate manner on a PRI Form.

  • Follow-up and resolve denials and appeals.

  • Follow through on out of the ordinary cases that require special handling.

  • Assists in educating and acts as a resource for the branch offices.

  • Consistently models the company's philosophy of customer service and compliance.

  • Ability to understand Medi-Cal Eligibility.

  • Ability to understand Co-Insurances and Deductibles.

  • Report status of accounts on a weekly basis to Authorization Manager.

  • Other duties may be assigned.



AUTHORIZATION REPRESENTATIVE QUALIFICATIONS:



  • Minimum of 2+ years of experience in Pre-Authorization and Insurance Verification.

  • Demonstrates knowledge of medical insurance benefits, home health experience a PLUS.

  • Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills required.

  • Ability to multi-task effectively under stress, prioritize and meet deadlines with strong attention to detail.

  • Experience navigating website for online benefits, experience a plus.

  • Team player and willing to assist in other areas.

  • Knowledge of Continulink and KanTime is a Plus.

  • Strong knowledge of Microsoft Word, Excel and Outlook.

  • Knowledge of Medi-cal, CCS, and commercial insurance.

  • High School Education required, College a PLUS.



If you feel that you are a match for our Authorization Representative opening we welcome you to submit your resume.



Premier Healthcare Services is an equal opportunity and affirmative action employer and is committed to providing employment opportunities to minorities, females, veterans, and disabled individuals, as well as all other protected groups.