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Preauthorization Representative REMOTE
Job Location:
Job Location:
Elmira, NY - USA
Hourly Salary:
USD 17 - 20
Hourly Salary:
Posted:
29 September 2026 (Yesterday)
Posted:
Application Deadline:
27 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
JOB TITLE: PRE-AUTHORIZATION REPRESENTATIVE
MAIN FUNCTION:
Works within a team environment pre-authorizing out patient exams for various hospital services. This position will require a degree of complexity and prior anatomy education. Reports directly to the Pre-Authorization Supervisor.
DUTIES AND RESPONSIBILITIES:
COMMUNICATION:
answers the telephone in a professional and courteous manner.
the knowledge and ability to utilize various computer networks and telephone applications to procure pre-authorizations for patients.
the ability to complete pre-authorizations in a timely manner.
the ability to communicate courteously and effectively with internal and external customers.
an understanding of both CPT ICD9 and medical terminology.
6. Demonstrates the ability to check appointment schedules daily to ensure that all admissions and procedures have been approved (pre-authorized) by the insurance carrier.
CLERICAL:
insurance knowledge.
knowledge of ICD-9 coding / CPT / HCPCs to ensure Arnot Health to receive the maximum reimbursement that is allowable.
knowledge of Medicare requirements for approved ICD-9 codes and to communicate to the provider when a code is not approved and knowledge of Medicare waivers.
the ability to accurately pre-authorize / pre-certify patients exams for all departments to ensure the smooth daily operation of the department.
knowledge of the method of proper sequencing of exams (ie. prioritization).
12. Communicates all questions to the appropriate department.
ability to conference with other departments to bring about conflict resolution to pre-authorization problems.
the ability to be cross-trained to other responsibilities of the department as required by the Supervisor/Director.
COMPUTER:
basic computer skills.
the knowledge and ability to work within the Arnot Healths computer system.
computer security.
WORKING RELATIONSHIP:
general knowledge of the Hospitals departments and how these departments interact with each other.
with physician and physicians offices in a positive and courteous manner.
and maintains collaborative working relationships with other health team members.
perform other duties as requested by supervisor/manager which contributes to the smooth operation of the department.
QUALITY:
reliability in the conscientious complete and accurate manner in which work assignments are performed.
Quality Improvement principles in daily work and participates in QI monitoring and reporting.
QUANTITY:
flexibility in work schedule to meet the needs of the department.
the ability to perform multiple tasks as required by the position.
utilizes time to maximize full potential sets priorities and is uses good organizational skills.
SAFETY:
within an awareness of risk management and safety issues reports concerns appropriately.
complete understanding of the Arnot Healths emergency codes.
PROFESSIONALISM:
accountable for own actions.
professional behavior and appearance. Wears Arnot Healths ID Badge.
and respects patients and patient confidentiality.
internal and external customers in a pleasant and respectful manner displaying courtesy at all times.
staff meetings.
OTHER:
34. Is responsible for attending all annual mandatory educational programs as required by position.
35. Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way being attentive to the customers needs both psychologically and physically and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with Arnot Health.
36. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned
EDUCATION:
Mandatory: Clinical experience in various areas is needed/and or coding in various areas. ICD9/CPT coding certifications or prior billing experience.
High School diploma or equivalent experience required. Hospital experience preferred.
EXPERIENCE:
organizational communication and customer relations skills.
courtesy.
oriented experience preferred.
CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:
No CPR required.
PHYSICAL DEMANDS:
Light physical effort. Typical office job.
EXPOSURE CATEGORY:
Category III. Tasks that involve no exposure to blood body fluids or tissues. Category I tasks are not a condition of employment.
** A.D.A. Essential Functions
Required Experience:
Unclear Seniority
About Company
Arnot Health offers comprehensive healthcare, including primary care, orthopedics, cancer, & heart care in the Twin Tiers region. Recognized among Forbes' Top Hospitals in 2026.
