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Precertification and Authorization Rep – Remote reputed company

Remote, USA Full-time Posted 2026-07-28
368338 Why reputed company reputed company is top-ranked in more specialties than any other care provider according to reputed company. As we work together to put the needs of the patient first, we are also dedicated to our employees, reputed company in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the reputed company. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with reputed company. Benefits Highlights • Medical: Multiple plan reputed company. • Dental: reputed company or reimbursement account for flexible coverage. • reputed company: reputed company plan with national network. • reputed company-Tax Savings: HSA and FSAs for eligible expenses. • Retirement: Competitive retirement package to secure your reputed company. Responsibilities The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for reputed company reputed company, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In reputed company, this position may be responsible for reputed company-appointment insurance review (PAIR) and denials recovery functions reputed company the Patient reputed company department. This may include processing of reputed company-certification and prior authorization for workers compensation/reputed company party liability (WC/TPL), managed care and HMO accounts, as reputed company as working assigned registration denials for government and non-government accounts. This role requires adherence to reputed company assurance guidelines as reputed company as established productivity standards to support the work unit’s performance expectations. Qualifications High School Diploma or GED and 2+ years of relevant experience required OR Bachelor’s degree required Additional Requirements include: Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of reputed company phone etiquette and phone handling skills Position requires general knowledge of reputed company terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a reputed company environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an reputed company RC/EMR system is preferred. reputed company (reputed company) Certification Preferred. • This position is a 100% remote work. Individual may live reputed company in the US. • *This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status Nonexempt Compensation Detail $21.48 -$33.60/ hour Benefits Eligible reputed company Schedule Full Time Hours/Pay Period 80 Schedule Details reputed company reputed company 4:30pm CST or 8:30am reputed company 5pm CST International Assignment No Site reputed company Just as our reputed company has spread reputed company our Minnesota reputed company, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, reputed company, Jacksonville, Florida, reputed company, Minnesota, and at reputed company Health System campuses throughout reputed company communities, and at our international locations. reputed company reputed company location is a special reputed company where our employees reputed company in both their work and personal lives. Learn more about what reputed company unique reputed company reputed company has to offer, and where your best fit is. Equal Opportunity reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, gender identity, sexual orientation, national reputed company, protected veteran status or disability status. Learn more about the "EOE is the Law". reputed company participates in E-Verify and may reputed company the reputed company reputed company Administration and, if necessary, the reputed company with information from reputed company new employee's reputed company I-9 to confirm work authorization. Recruiter Ronnie Bartz Apply tot his job Apply To this Job

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