Authorization Representative in La Jolla, CA at Pride Health

Date Posted: 5/26/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    La Jolla, CA
  • Experience:
    Not Specified
  • Date Posted:
    5/26/2019

Job Description

Pride Health is seeking an Authorization Representative to work with a top healthcare institution in La Jolla, CA. The Authorization Specialist is an experienced revenue cycle professional responsible for insurance verification and authorization.

Responsibilities:

  • Responsible for financially securing scheduled and unscheduled hospital services by verifying insurance eligibility and benefits coverage and by securing insurance pre-certification and authorization for inpatient and outpatient services.
  • Communicates the status of coverage and benefits verification and authorization directly with patient and providers, and facilities.
  • Reschedules of services as appropriate.
  • Provides and collects estimated patient liability amounts.

Requirements:

  • Minimum of 6 months of in-Hospital experience.
  • Experience must include insurance eligibility and benefits coverage verification, obtaining pre-certification and/or authorization for medical services and providing explanations and/or estimates of patient financial responsibility.
  • EPIC knowledge

Interested? Apply online or email sarah.campbell@pride-health.com.

Not interested? You could still earn up to $500 by referring a friend. Email sarah.campbell@pride-health.com for details.