PSC Pre Auth Representative

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $15 - $23 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

💰 $2G Post IPO debt on 2022-07

Healthcare • B2C

Tenet Healthcare is a for-profit healthcare services company that owns and/or operates hospitals and hospital programs through subsidiaries and affiliates across the United States. The company's website and materials describe acute-care hospitals, emergency centers, specialty services (including cancer centers and advanced cardiac imaging), medical office buildings, physician careers and community health networks; Tenet emphasizes compliance, community service, and clinical innovation.

📋 Description

• Support the clinical pre-authorization services team • Verify benefits and determine authorization requirements • Secure required authorizations for inpatient, outpatient, and emergency services • Address complex issues requiring clinical input and/or escalation, including peer-to-peer reviews and denials • Build and maintain collaborative relationships with internal and external clients • Interact with clients and revenue cycle staff to facilitate the authorization process • Request clarification on orders, validate clinical documentation, and follow up on pending requests • Participate in quality control audit processes, department projects, and activities to improve scorecard metrics • Provide feedback on workflow improvement opportunities and contribute to successful implementation • Resolve and, as applicable, escalate physician office and client issues • Work in a call center environment using desk, computer, telephone, printer, and other office equipment • May experience extreme case volumes and uncooperative parties

🎯 Requirements

• High School Diploma or GED required • 2-4 years experience in medical facility, health insurance, or related area • Minimum typing skills of 35 wpm • Demonstrated working knowledge of software/system/equipment • Advanced customer service skills and experience • Ability to work in a fast-paced environment • Ability to receive and express detailed information through oral and written communications • Ability to multi-task and manage time effectively • Must be available to work hours and days as needed, including weekends and holidays, based on departmental/system demands • Some college coursework is preferred • Knowledge of function and relationships within a hospital / physician office environment preferred • Knowledge of Medical Terminology preferred • Advanced understanding of third-party payer requirements preferred • Advanced understanding of healthcare compliance standards preferred • Must obtain and provide confirmation of required vaccinations and screenings, as applicable and permitted by law, prior to employment • Must be able to sit at a computer terminal for extended periods • Occasionally lift/carry items weighing up to 25 lbs. • Frequent prolonged sitting and walking

🏖️ Benefits

• Position may be eligible for a signing bonus for qualified new hires, subject to employment status. • Conifer observed holidays receive time and a half. • Medical, dental, vision, disability, and life insurance • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.