Insurance Authorization Representative

Location: Richmond, Virginia
Date Posted: 09-13-2017
Position Title: Insurance Authorization Representative
Location: Richmond, VA
Position Status: Contract to hire
Compensation: 10 hr.
Responsibilities:
  • Confirms that a patient’s health insurance(s) is active and covers the patient’s procedure; may be completed multiple times before, during, and after a patient’s visit/stay.
  • Review and analyze patient visit information to determine whether authorization is needed and understand payor specific criteria to appropriate secure authorizations and clear the account prior to service where possible.
  • Ensure that services provided to eligible members are within benefit plan and appropriate contracted providers are being utilized.
  • Responsible for reviewing visit data to ensure appropriate and accurate information is provided to the payor to support the authorization request
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