Authorization Rep

Authorization Rep

Location:

Tulsa, OK Type:
Contract To Hire Compensation: $18/hr Work Model:
Onsite

Hours:

40.0 Security Clearance: none

• 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.

• 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.