Pre-Authorization Representative


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Title: Pre-Authorization Representative Location: Upper East Side Org Unit: Revenue Cycle and Compliance Work Days: Monday-Friday Exemption Status: Non-exempt Pay Grade: 03

Position Summary

Under direction, is responsible for the management of insurance verifications, eligibility and prior authorizations for activities requiring referrals, which may include surgical procedures, visits and/or diagnostic testing

Job Responsibilities

Verifies pre-certifications and obtains upgrades if needed. If pre-certification is not obtained for next day, notifies the referring doctor’s office and contacts the patient to find out if they would rather reschedule.
May be required to greet patients in person and notify clinical staff of arrival.
Responsible for mail services, photocopying, scanning and filing.
Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
Initiates and prepares written correspondence as needed and based on functional needs.

Education

High school diploma or GED

Experience

Approximately 1 year of prior related experience within the medical field

Knowledge, Skills and Abilities

Demonstrated strong organizational skills and ability to pay close attention to detail.

Licenses and Certifications

Working Conditions/Physical Demands

Standard office work
Weill Cornell Medicine is a comprehensive academic medical center that’s committed to excellence in patient care, scientific discovery, and the education of future physicians in New York City and around the world. Our doctors and scientists-faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization-are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side’s scientific corridor, Weill Cornell Medicine’s powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients – the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity Employer. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.

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