Pre-Arrival Unit Representative - Pre-Authorization - Patient Access

locations

Clinton, MS

time type

Full time

posted on

Posted Today

time left to apply

End Date : July 20, 2025 (2 days left to apply)

job requisition id

R00043976

Hello,

Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application :

• Provide all of your employment history, education, and licenses / certifications / registrations. You will be unable to modify your application after you have submitted it.
• You must meet all of the job requirements at the time of submitting the application.
• You can only apply one time to a job requisition.
• Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.
• Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.

After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.

Thank you,

Human Resources

Important Applications Instructions :

Please complete this application in entirety by providing all of your work experience, education and certifications /

license. You will be unable to edit / add / change your application once it is submitted.

Job Requisition ID : R00043976

Job Category :

Clerical and Customer Service

Organization :

Rev Cycle - Patient Access PAU

Location / s :

Central Billing Office-Clinton

Job Title :

Pre-Arrival Unit Representative - Pre-Authorization - Patient Access

Job Summary :

The Pre-Arrival Unit Representative plays a crucial role in ensuring seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. They communicate with internal and external stakeholder, maintain confidentiality, and contribute to process improvement.

Education & Experience

High school diploma or equivalent required. One (1) year of experience in healthcare insurance verification is required. Associate degree or equivalent combination of related education and experience preferred. Knowledge of medical terminology, diagnosis, and CPT coding preferred.

Certifications, Licenses or Registration Required : N / A

Knowledge, Skills & Abilities

Ensures seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. Ability to maintain confidentiality. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.

Responsibilities

Verify patient insurance eligibility and coverage.

Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.

Leverage available information (e.g., CPT codes, diagnosis codes) to obtain authorizations.

Obtain approval for services scheduled by external providers.

Pre-certify services requiring authorization in a timely and efficient manner.

Timely pre-certify outpatient procedures when applicable.

Complete Notification of Admission (NOA) promptly to notify relevant payers about patient admissions.

Communicate with patients, insurers, and relevant parties regarding insurance verification and authorization.

Communicate updates and address questions on work progress to team members, leadership, and external departments.

Strong written and verbal communication skills.

Environmental and Physical Demands

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal / clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting / carrying up to 10 pounds, occasional lifting / carrying up to 25 pounds, occasional lifting / carrying up to 50 pounds, occasional lifting / carrying up to 75 pounds, occasional lifting / carrying up to100 pounds, no lifting / carrying 100 pounds or more, no climbing, no crawling, occasional crouching / stooping, occasional driving, occasional kneeling ,occasional pushing / pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type : Full time

FLSA Designation / Job Exempt :

Pay Class :

Hourly

FTE % : Work Shift :

Benefits Eligibility :

Grant Funded :

Job Posting Date :

07 / 16 / 2025

Job Closing Date (open until filled if no date specified) :

07 / 20 / 2025