Nuvance Health Medical Practice CT is looking for a Preauthorization Representative to join our Danbury Rheumatology team. You will be central to facilitating patient flow through the pre-registration process, managing prior authorizations for in-office medications and infusions. This role ensures financial clearance and smooth coordination between clinicians, patients, and insurance providers.
What You'll Do
- Serve as the primary coordinator for prior authorization of all in-office medications and infusions as directed by clinicians.
- Communicate with insurance providers regarding medical necessity to obtain authorization.
- Perform insurance eligibility verification and execute payer requirements.
- Ensure proper selection of insurance, plan type, and billing information within the system.
- Initiate requests for authorizations, prior authorizations, and referrals from insurance companies.
- Collect co-payments and past due balances when necessary.
- May be assigned to register, schedule patients, and answer incoming phone calls in a timely manner.
- Serve as a liaison between clinicians, scheduling, and clinical staff regarding patient authorizations.
- Fulfill all compliance responsibilities related to the position.
- Maintain and model Nuvance Health Foundational Values (Personal, Imaginative, Agile, Connected).
- Perform other duties as required.
What We're Looking For
- High School Diploma/GED.
- Minimum of seven years or more of relevant experience.
- Proficiency in data entry.
- Working knowledge of MS Word and MS Excel.
Technical Stack
- Electronic Medical Record (EMR) system
Team & Environment
You will be part of a collaborative team in an outpatient medical practice. We foster open communication and unwavering compassion.
Benefits & Compensation
- Compensation range: $18.13 - $34.50 hourly, paid per years of relative experience.
Work Mode
This position is onsite at our location in Danbury, CT.
Nuvance Health is an inclusive organization where everyone feels welcomed, respected, and supported, guided by our values of connected, personal, agile, and imaginative.
