Insurance Representative

* **Location:** Remote, Must live within 50 Miles of Pensacola * **Facility:** Sacred Heart Healthcare System * **Department:** Patient Support Services * **Schedule:** Day Shift \| Full\-Time * **Salary:** $16\.48 \- $29\.72 per hour \#LI\-BB1 * **Comprehensive health coverage:** medical, dental, vision, prescription coverage and HSA/FSA options * **Financial security \& retirement:** employer\-matched 403(b), planning and hardship resources, disability and life insurance * **Time to recharge:** pro\-rated paid time off (PTO) and holidays * **Career growth:** Ascension\-paid tuition (Vocare), reimbursement, ongoing professional development and online learning * **Emotional well\-being:** Employee Assistance Program, counseling and peer support, spiritual care and stress management resources * **Family support:** parental leave, adoption assistance and family benefits * **Other benefits:** optional legal and pet insurance, transportation savings and more * Responsibilities: Confirms insurance coverage via payer portals and determines necessity for pre\-authorization. * Obtains authorization and processes referrals for services ordered by providers. Schedules appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement. * Remains current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided. * Communicates with patients, healthcare providers, and third\-party service providers regarding insurance coverage and barriers to care. * Documents detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details. Notifies patients and providers of services requested that are not authorized by insurance. **Licensure / Certification / Registration** * Required Credential(s): * None Required. **Education** * High school diploma or equivalent required. **Work Experience** * 2\+ years prior authorization experience required. **Additional Preferences:** * 1\+ years of experience in a Medical Office working * 1\+ years of customer service experience Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000\+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150\+ Places to Work in Healthcare and a Military\-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter. **Equal employment opportunity employer** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirt