This position obtains and/or verifies insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services. It uses payer guidelines, hospital contracts, and applicable CPT/HCPCS codes to identify and fulfill authorization requirements within established timeframes, supporting timely patient care, accurate billing, and compliance with payer regulations. Responsibilities may be expanded, modified, or reassigned based on departmental needs and operational priorities. The role is based in a centralized scheduling area and may require flexible hours as departmental demand shifts. The position serves young, middle, and older adults.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Education Level
High school or GED