PSC Pre Auth Representative

Tenet Healthcare

. Support the clinical pre-authorization services team .

Posted 10/27/2026full-timeRemote • United StatesJuniorMid-Level💰 $16 - $24 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical pre-authorization processes, including verifying benefits and securing authorizations for various services. Strong ability to communicate effectively and build collaborative relationships within a healthcare environment.

Highest-signal resume keywords

Clinical Pre-Authorization ServicesMedical TerminologyAdvanced Customer Service SkillsHealthcare Compliance StandardsThird-Party Payer Requirements

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Typing Skills (35 WPM)Knowledge of Software/System/EquipmentQuality Control Audit ProcessesWorkflow ImprovementClinical Documentation Validation

Soft Skills

Effective Oral and Written CommunicationTime ManagementMulti-TaskingProblem-SolvingCollaboration

Tools & Technologies

Call Center EquipmentComputerTelephonePrinterOffice Equipment

Industry Keywords

Health InsuranceMedical FacilityHospital EnvironmentPhysician Office EnvironmentAuthorization Process

About the role

Key responsibilities & impact

Support the clinical pre-authorization services team
Verify benefits and determine authorization requirements
Secure required authorizations for inpatient, outpatient, and emergency services
Address complex issues requiring clinical input and/or escalation, including peer-to-peer reviews and denials
Build and maintain collaborative relationships with internal and external clients
Interact with clients and revenue cycle staff to facilitate the authorization process
Request clarification on orders, validate clinical documentation, and follow up on pending requests
Participate in quality control audit processes, department projects, and activities to improve scorecard metrics
Provide feedback on workflow improvement opportunities and contribute to successful implementation
Resolve and, as applicable, escalate physician office and client issues
Work in a call center environment using desk, computer, telephone, printer, and other office equipment
May experience extreme case volumes and uncooperative parties

Requirements

What you’ll need

High School Diploma or GED required
2-4 years experience in medical facility, health insurance, or related area
Minimum typing skills of 35 wpm
Demonstrated working knowledge of software/system/equipment
Advanced customer service skills and experience
Ability to work in a fast-paced environment
Ability to receive and express detailed information through oral and written communications
Ability to multi-task and manage time effectively
Must be available to work hours and days as needed, including weekends and holidays, based on departmental/system demands
Some college coursework is preferred
Knowledge of function and relationships within a hospital / physician office environment preferred
Knowledge of Medical Terminology preferred
Advanced understanding of third-party payer requirements preferred
Advanced understanding of healthcare compliance standards preferred
Must obtain and provide confirmation of required vaccinations and screenings, as applicable and permitted by law, prior to employment
Must be able to sit at a computer terminal for extended periods
Occasionally lift/carry items weighing up to 25 lbs.
Frequent prolonged sitting and walking

Benefits

Comp & perks

Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program
Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.