Hybrid Pre Authorization Representative - Medical Oncology en Arnot Health
Arnot Health · Elmira, Vereinigte Staaten Von Amerika · Hybrid
- Junior
- Oficina en Elmira
Arnot Health is seeking a detail-oriented and service-driven Pre-Authorization Representative to join our Medical Oncology team. In this vital role, you will help ensure patients receive timely access to care by securing insurance pre-authorizations for outpatient exams and procedures. This position requires a strong understanding of medical terminology, CPT/ICD-9 coding, and insurance processes, as well as excellent communication and organizational skills.
Key Responsibilities
Obtain pre-authorizations for outpatient medical oncology services in a timely and accurate manner
Review appointment schedules daily to confirm all procedures have insurance approval
Communicate effectively with patients, providers, physician offices, and insurance carriers
Apply knowledge of CPT, ICD-9, HCPCS codes, and Medicare requirements to ensure maximum allowable reimbursement
Resolve pre-authorization issues by collaborating with departments and providers
Maintain accurate documentation in the hospital’s computer systems while adhering to confidentiality standards
Demonstrate professionalism, courtesy, and a patient-first approach in all interactions
Qualifications
High school diploma or equivalent required; hospital or clinical experience preferred
Experience in medical coding (ICD-9/CPT) or prior billing experience required
Knowledge of insurance processes and Medicare requirements
Strong organizational, communication, and customer service skills
Ability to manage multiple tasks, set priorities, and meet deadlines
If you are ready to use your skills to make a direct impact on patient care and join a supportive healthcare team, we invite you to apply.