Pre-Authorization Representative

The Pre-Authorization Representative serves as a liaison between physicians, patients, and insurance carriers to secure timely authorizations and pre-certifications for medical tests, procedures, and therapies. This role involves contacting insurance companies to obtain required approvals, gathering and verifying patient demographic and clinical information, and ensuring all documentation meets payer requirements. The representative maintains authorization records, tracks certification status, and supports compliance with insurance guidelines to facilitate efficient patient care and reimbursement.