Authorization Representative Resume Samples

An Authorization Representative is a representative who interacts with customers and handles their issues, and undertakes the authorization process, and provides them the needed information. While the actual duties vary based on the type of service provided, the following are certain core tasks seen on a professional Authorization Representative Resume – contacting insurances for benefits, eligibility, network status, and authorization; verifying eligibility within the database systems; processing requests for prior authorization; acting as a liaison between the payer and the support staff, and determining coverage and approval criteria.

Even while the type of industry determines the nature of the job for these representatives, the needed skills are almost common and include the following – flexibility and adaptability to quick learning; strong service orientation, the ability to work as a team player; strong computer skills; excellent oral and written communication skills; the ability to handle challenging customers; and strong interpersonal skills. Formal education to a degree level and prior work experience is the best option to enter this career line.

Authorization Representative Resume example

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Authorization Representative Resume

Summary : 5+ years of business, administrative, and customer service experience. Ability to quickly build rapport and establish trust. Recognized for professionalism, positive mental attitude, commitment to excellence, and demonstrated ability to communicate and interact effectively with senior management, associates, and customers.

Skills : Microsoft, Customer Service, Bilingual in English and Spanish.

Authorization Representative Resume Model


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Description :

  1. Responsible for accurate and timely authorization/pre-certification and verification of benefits with insurance payers.
  2. Performed quality control on new accounts and charge orders.
  3. Obtained daily coversheets or paperwork for accounts to be worked or entered into the billing system working as a team with staff members to ensure the accurate and timely selection of open charge orders.
  4. Reviewed and verified all insurance requests within 24-hours of receipt.
  5. Demonstrate a strong working knowledge of billing system functions to effectively execute job duties.
  6. Possessed strong working knowledge of ICD-10, CPT, and HCPCS codes and HIPAA laws.
  7. Performed computerized scheduling and pre-registration duties by answering phones in the call center providing service to clients and patients by scheduling and confirming appointments, disclosing relevant information regarding billing, exam preparation, directions, etc.
  8. Accurately entered patient's demographics, insurance, and other relevant information into the computer system.
  9. Oversaw the process of incoming patient orders and obtain information necessary to complete the pre-authorization and scheduling of an order.