Pre-Authorization Representative

Title: Pre-Authorization Representative

Location: Upper East Side

Org Unit: Billing Support

Work Days: Monday-Friday

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $23.30 - $25.27

• As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

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 doctors 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 in a customer service focused role.

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

Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study." No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual's genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans' Readjustment Assistance Act (VEVRRA). We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.