Preauthorization Representative

Arnot Health

. Work within a team to pre-authorize outpatient exams for various hospital services .

Posted 9/22/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $17 - $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pre-authorizing outpatient exams, applying ICD-9/CPT/HCPCS coding, and understanding Medicare requirements. Strong organizational and communication skills are essential for collaborating with healthcare teams and ensuring patient confidentiality.

Highest-signal resume keywords

ICD9/CPT Coding CertificationPre-Authorization ExperienceKnowledge of Medical TerminologyCustomer Relations SkillsBasic Computer Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-9 CodingCPT CodingHCPCS CodingPre-AuthorizationInsurance KnowledgeMedical TerminologyComputer SecurityQuality Improvement Monitoring

Soft Skills

Organizational SkillsCommunication SkillsTelephone CourtesyCustomer Service Orientation

Tools & Technologies

Computer NetworksTelephone ApplicationsArnot Health's Computer System

Certifications & Qualifications

ICD9/CPT Coding Certification

Industry Keywords

Outpatient ExamsHospital ServicesMedicare RequirementsRisk ManagementConfidentiality

About the role

Key responsibilities & impact

Work within a team to pre-authorize outpatient exams for various hospital services
Report directly to the Pre-Authorization Supervisor
Answer telephone calls professionally and courteously
Use computer networks and telephone applications to obtain patient pre-authorizations
Complete pre-authorizations promptly and accurately
Check appointment schedules daily to confirm admissions and procedures are approved by insurance carriers
Apply insurance knowledge, ICD-9/CPT/HCPCS coding, Medicare requirements, and medical terminology
Pre-authorize and pre-certify patient exams across departments
Sequence exams and prioritize work
Communicate questions to appropriate departments and help resolve pre-authorization problems
Cross-train for other departmental responsibilities as required
Maintain computer security and participate in quality improvement monitoring and reporting
Collaborate with physicians, physician offices, and other health team members
Perform additional duties assigned by the supervisor or manager
Follow risk management, safety, emergency-code, confidentiality, professionalism, and customer-service standards
Attend staff meetings and mandatory annual educational programs

Requirements

What you’ll need

Clinical experience in various areas and/or coding experience in various areas
ICD9/CPT coding certification or prior billing experience
High School diploma or equivalent experience required
Hospital experience preferred
Good organizational, communication, and customer relations skills
Telephone courtesy
Service-oriented experience preferred
Understanding of CPT, ICD-9, HCPCS, medical terminology, insurance, Medicare requirements, and Medicare waivers
Basic computer skills and ability to use Arnot Health's computer system
Knowledge of hospital departments and their interactions
Ability to maintain computer security and patient confidentiality
No CPR required
Light physical effort; typical office job
Category III exposure classification

Benefits

Comp & perks

Annual mandatory educational programs
No CPR required
Fully remote work arrangement