Need A Job Now

nlx logo

Need a Job Now

Job Information

Cleveland Clinic Authorization Representative in Independence, Ohio

Job ID: 124945

*THIS POSITION IS A PRN POSITION. PRNS WORK A MINIMUM OF 16 HR/WEEK AND ARE NOT ELIGIBLE FOR BENEFITS OR PAID TIME OFF

Responsibilities:

  • Cross-trained to staff all areas of Authorization supporting any facility, including but not limited to verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.

  • May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.

  • Maintains productivity and quality expectations set forth by department.

  • Performs some registration input in order to ensure accurate patient information for the authorization process.

  • Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.

  • Communicates with physician offices to obtain clinical information and/or coordinate peer-to-per conversations.

  • Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.

  • Other duties as assigned.

Education:

  • High school diploma or equivalent.

Certifications:

  • None required.

Work Experience:

  • Minimum of 2 years of experience in a customer facing role with in person or phone contact.

  • Candidate must demonstrate PC skills efficiency.

  • Ability to multitask within multiple accounts in high volume insurance verification processes.

  • An Associate's degree may substitute for up to one year of the stated experience.

  • A Bachelor's degree my substitute for up to two years of the stated experience.

Physical Requirements:

  • Sufficient mobility and strength to move around the department and throughout the facility.

  • Ability to stand or sit for prolonged periods of time.

  • Excessive walking and standing while obtaining patient information when using laptop computer on wheeled device for bedside registration.

  • Ability to lift 25 pounds.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment.

Cleveland Clinic is pleased to be an equal employment/affirmative action employer: Women/Minorities/Veterans/Individuals with Disabilities.

DirectEmployers