Summary

We are seeking an Access Center Authorization Representative responsible for identifying insurance plans that require pre-authorization for scheduled procedures and ensuring all required authorizations are obtained. This role includes accurately documenting authorization details in all applicable billing systems, verifying benefits for designated services, and communicating benefit information to the requesting departments.

The ideal candidate will thrive in a fast-paced environment while managing multiple responsibilities with a high level of accuracy and professionalism. Strong communication, attention to detail, problem-solving, troubleshooting, and time management skills are essential. The representative must also be adaptable to ongoing changes, capable of performing effectively under pressure, and committed to maintaining data integrity across all systems used in daily operations.

This position supports the delivery of Parkview Health Standards of Behavior, quality performance, and service excellence. Responsibilities include reviewing each account individually and in a timely manner to determine appropriate pre-certification requirements based on established guidelines. The role also focuses on securing reimbursement and minimizing organizational write-offs through proactive follow-up on insurance denials and appeals to obtain approvals from insurance companies.

Education

• Must be a high school graduate or the equivalent with GED. Medical terminology preferred.

Licensure/Certification

• Addendums are required for 0153 Nurse Leader, 0249 Registry RN, 0252 Registered Nurse, 0235 Advanced Registered Nurse, and 0236 Expert Registered Nurse. To view addendums, go to the job description page on Parkview’s intranet.

Experience

• Minimum of two years experience in health care setting, call center, or clerical position, including experience using Microsoft Office applications required.
• Registration experience preferred.
• One year insurance pre-authorization experience preferred.

Other Qualifications

• Must have excellent verbal and written communication skills.
• Must be able to demonstrate a working knowledge of general computer skills and applications.
• Demonstrates ability to multi-task and work independently using critical thinking skills.