PREAUTHORIZATION REP

Responsibilities Manages financial arrangements (insurance verification, precertification, charity review, etc.) for hospital patients to assure the hospital is reimbursed by third parties, financial assistance programs, and the patient/guarantor. Coordinate the precertification authorization process and general insurance verification coverage. Performs authority and eligibility checks in a timely manner, including when new insurance is identified. Communicates and documents pertinent third‑party payor issues and/or information regarding any change in authorization and eligibility to Intake Director, Business Office Manager, UM Director, and/or designee. Maintains professional, positive, and effective communication. Collects necessary clinical and demographic data from patients, providers, and insurance companies to support precertification authorization requests. Verifies and enters insurance eligibility accurately and promptly. Notifies key staff regarding lack of payer coverage or other service non‑coverage issues related to precertification. Submits and tracks authorization requests with insurance providers, ensuring compliance with their specific requirements and deadlines for new and existing patients. Works directly with Assessment and Referral Services to stay abreast of admissions and/or pending authorizations. Qualifications High school diploma. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr Anchor Hospital