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Central Authorization Specialist /Full Time/ Remote-Michigan Residents
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Job Description
- Req#: 2516243
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work in a dynamic environment focused on improving patient care and operational efficiency
- Engage in meaningful work that directly impacts patient treatment and satisfaction
- Collaborative and supportive team atmosphere
- Chance to develop expertise in insurance authorization processes and healthcare administration
What to Expect (Job Responsibilities):
- Facilitate the procurement of insurance authorizations for procedures and post-operative care
- Validate obtained authorizations and provide continuous education to a multi-disciplinary team
- Identify areas for performance improvement in workflows and patient satisfaction
- Serve as a centralized resource for standardized authorization procurement across multiple sites
- Communicate feedback from coding, billing, and denial management to enhance authorization processes
What is Required (Qualifications):
- High School Diploma or equivalent; 3-5 years of related experience or training required
- Minimum of 3-5 years of experience in a medical clinic or hospital/corporate setting
- Two years of experience in healthcare insurance verification and/or billing required
- Knowledge of clinical terminology and coding
- Strong oral and written communication skills
How to Stand Out (Preferred Qualifications):
- Additional coursework in business, computers, or healthcare administration
- Experience in a medical or surgical specialty clinic
- Current working knowledge of hospital operations and managed care reimbursement
- Understanding of revenue cycle management, including billing and coding
- Strong organizational and time management skills
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