Pre-Authorization Representative, Insurance Verification
Overview
You will own insurance verifications, eligibility checks, and prior authorizations for surgical procedures, visits, and diagnostic testing at Weill Cornell Medicine. You will manage the full authorization lifecycle from pre-certification to rescheduling, coordinating with referring doctors and patients daily. Working in a billing unit on the Upper East Side, you will collaborate with clinical staff and handle patient fees. This role offers a clear path to master healthcare billing workflows in a top-ranked medical institution.
What You'll Do8
- 1Verify insurance eligibility and obtain prior authorization numbers before appointment dates.
- 2Obtain pre-certification upgrades and notify referring doctors' offices when authorizations are missing.
- 3Contact patients to reschedule if pre-certification is not secured for the next day.
- 4Greet patients in person and notify clinical staff of arrivals in the billing office.
- 5Handle mail services, photocopying, scanning, and filing to support daily operations.
- 6Initiate and prepare written correspondence for authorization and billing needs.
- 7Collect fees due from patients and communicate payment requirements.
- 8Facilitate communication between patients, providers, and insurance companies.
Requirements7
- 11+ year of prior experience in a customer service focused role.
- 2High school diploma or GED.
- 3Strong organizational skills and attention to detail.
- 4Ability to manage multiple authorization requests and meet deadlines.
- 5Proficiency with Microsoft Office and EPIC or similar EHR systems.
- 6Knowledge of insurance verification and prior authorization processes.
- 7Excellent written and verbal communication skills.
Salary Insight
$48 - $52k per year
Location
Required Skills
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