Authorization Rep

Job Description

Job Description

Job Title: Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $18/hr Work Model: Onsite Hours: 40.0 Security Clearance: none

Responsibilities

• Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, medications, and specialty services.
• Verify patient insurance eligibility, benefits, and coverage requirements.
• Communicate with insurance companies to secure approvals and resolve authorization issues.
• Review clinical documentation to ensure authorization requests meet payer requirements.
• Track authorization status and follow up on pending requests to avoid delays in patient care.
• Document authorization information accurately within the electronic medical record (EMR) system.
• Collaborate with providers, clinical staff, scheduling teams, and billing departments to coordinate patient services.
• Inform patients of authorization requirements, coverage limitations, and any out-of-pocket responsibilities when appropriate.
• Stay current on payer guidelines, insurance regulations, and authorization procedures.

Requirements

• High school diploma or equivalent required; additional healthcare education preferred.
• Minimum of 1-2 years of prior authorization, insurance verification, medical billing, or healthcare administrative experience preferred.
• Knowledge of commercial insurance plans, Medicare, Medicaid, and managed care organizations.
• Familiarity with medical terminology, CPT codes, ICD-10 codes, and healthcare reimbursement processes is a plus.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication abilities.
• Proficiency with EMR systems and Microsoft Office applications.
• Ability to work independently while managing multiple priorities in a fast-paced environment.

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Ref: #208-Rowland Tulsa