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Prior Authorization Representative – Neurology
Banner Health. Answer phones and prioritize work to ensure timely and appropriate patient care .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient financial services, including insurance authorization management, patient flow coordination, and financial policy communication. Proficient in office software and capable of working independently in a fast-paced environment.
Highest-signal resume keywords
Patient Financial Services ExperienceInsurance Authorization ManagementStrong Communication SkillsCash Collections ExperienceOffice Software Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationPatient RegistrationAppointment SchedulingPayment ProcessingFinancial Policy ExplanationData EntryPatient Flow CoordinationMedical Record ManagementAuthorization ResolutionCash Drawer Reconciliation
Soft Skills
Interpersonal SkillsOral CommunicationWritten CommunicationIndependent WorkMultitasking
Tools & Technologies
Office SoftwareWord Processing SoftwareSpreadsheet SoftwareDatabase Software
Certifications & Qualifications
Arizona Fingerprint Clearance CardArizona Criminal History Affidavit
Industry Keywords
Patient CareHealthcare ServicesInsurance Industry ProcessesFinancial ServicesBehavioral Health
About the role
Key responsibilities & impact- Answer phones and prioritize work to ensure timely and appropriate patient care
- Obtain and manage insurance authorizations for medical imaging, procedures, specialty medications, and other healthcare services
- Serve as liaison among providers, medical assistants, patients, and insurance companies
- Resolve authorization-related issues and prevent treatment delays
- Coordinate patient flow, registration, check-in, and appointment scheduling
- Enter patient and insurance information, provide intake forms, and obtain required signatures
- Verify insurance eligibility, benefits, referrals, pre-certifications, and authorizations
- Calculate and collect patient liability and explain financial policies and payment resources
- Enter payments and charges, reconcile daily transactions, balance the cash drawer, and prepare bank deposits
- Schedule office visits and procedures according to payer plan provisions and confirm upcoming appointments
- Communicate with patients, families, care teams, management, centralized services, and HIMS by phone, email, and in person
- Respond to medical-record requests according to company policies and applicable laws
- Provide patient-flow support, including escorting patients, taking vitals and histories, assisting with treatment, distributing mail and faxes, and ordering supplies
- Work independently in a fast-paced, high-volume environment while retaining changing payer information and exercising sound judgment
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge
- One or more years of work experience involving patient financial services, financial/collecting services, or insurance industry processes
- Ability to manage multiple tasks simultaneously with minimal supervision and work independently
- Strong interpersonal, oral, and written communication skills
- Strong knowledge of common office software, word processing, spreadsheet, and database software
- Arizona Fingerprint Clearance Card required at hire and maintained throughout employment only for specified Banner behavioral-health clinical settings serving children
- Arizona Criminal History Affidavit required upon hire only for specified Banner behavioral-health clinical settings serving children
- Company systems and processes experience preferred
- Previous cash collections experience preferred
- Additional related education and/or experience preferred
Benefits
Comp & perks- Full-time employment
- Day shift schedule
- Monday–Thursday 8:30am–5:00pm and Friday 8:00am–4:30pm
- Drug-free work environment