About the position This role reports up through the Revenue Cycle Patient Access team. The Precertification and Authorization Call Center Representative I reports to the Patient Access Supervisor. The position requires interaction and collaboration with insurance company representatives, patients, and physicians, as well as other departments that call into the Prior Auth department. The Precertification and Authorization Call Center Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization concerns, to support calls coming into the Prior authorization department. This role is to answer questions when call is received and route to the correct area if further assistance is needed. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations.

Responsibilities

• Resolving referral, precertification, and/or prior authorization concerns.
• Supporting calls coming into the Prior authorization department.
• Answering questions when calls are received.
• Routing calls to the correct area if further assistance is needed.
• Adhering to quality assurance guidelines.
• Meeting established productivity standards.

Requirements

• Interaction and collaboration with insurance company representatives, patients, and physicians, as well as other departments that call into the Prior Auth department.
• Adherence to quality assurance guidelines.
• Meeting established productivity standards.

Benefits

• Competitive compensation
• Comprehensive benefit plans
• Continuing education
• Advancement opportunities