Authorization Representative
Our client is a North American provider of connected care services, focusing on helping aging individuals and at-risk populations live safely and independently at home. It offers a portfolio of technologies that connect healthcare providers, individuals, and care partners to support health and safety. The company reaches approximately 10 million people annually, aiming to enhance quality of life, enable earlier interventions, reduce hospitalizations, and provide peace of mind. It operates in the home healthcare market and has received recognition for its workplace environment and service quality.
About the Role
The Authorization Representative role supports the organization's healthcare operations by managing authorizations and billing-related communications. This position is responsible for ensuring timely and accurate processing of authorizations, maintaining client data, and providing customer service to facilitate smooth healthcare service delivery. The role contributes to operational efficiency and supports the broader goal of enabling independent living for clients.
Responsibilities
- Handle inbound and outbound calls related to authorizations and customer service
- Request authorizations for State funded and Medicaid agencies
- Follow up on outstanding authorizations or prebilling issues using websites, portals, calls, emails, and faxes
- Perform data entry of client information into various portals
- Support team members as needed
- Scan and manage documents
- Communicate daily performance metrics and delays to the Supervisor
- Maintain confidentiality of all business office information
- Perform other duties assigned by the Supervisor or Manager
Requirements
- High school diploma or GED
- 1 to 3 years of experience in call center or customer service roles
- At least 1 year of experience in healthcare billing or office operations
- Proficient in MS Word, Excel, and Outlook
- Strong verbal and written communication skills