PRIOR AUTHORIZATION REP
Southwest General - Middleburg Heights, Ohio, United States
Work at Southwest General
Overview
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Overview
Why work at SWGHC? In addition to the outstanding culture, we offer great benefits, no rotating shifts, free parking and are close to the turnpike and I71. Come join our team! #loveajobthatlovesyouback
PRIOR AUTHORIZATION REPRESENTATIVE
HOURS:
POSITION SUMMARY: The Prior Authorization Rep position reviews patients accounts to determine if an authorization is needed for their services. If authorization is required they work with insurance companies and physician offices to obtain authorization for outpatient services throughout the Health Center. This position in a fast-paced office environment. The Prior Auth Rep also pre-registers, verifies insurance coverage and provides third party benefit education to customers. This position mentors new teammates and helps with auditing new hire workload.
MINIMUM QUALIFICATIONS:
Education: High school diploma or GED required. Bachelor's degree accepted in lieu of one (1) year of experience. Medical terminology coursework helpful. Required length of experience: 2 years of experience in patient registration, scheduling or related medical field using computers required. Solid understanding of medical terminology is essential to success in this role.
Required licensure, certification or registry: CHAA (Certified Healthcare Access Associate) certification required. May obtain with 6 months of hire.