Henry Ford Health System
Central Authorization Specialist /Full Time/ Remote-Michigan Residents
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Job Description
- Req#: 120069
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and authorization processes
- Engage in continuous education and improvement initiatives
- Work in a centralized role across multiple sites for consistent authorization procurement
What to Expect (Job Responsibilities):
- Facilitate the successful procurement of insurance authorizations for procedures and post-operative care
- Validate obtained authorizations and provide feedback to a multi-disciplinary team
- Act as a subject matter expert on precertification and payor authorization processes
- Ensure continuous improvement by analyzing feedback from coding, billing, and denial management
- Standardize and ensure consistent procurement of authorizations across all practice sites
What is Required (Qualifications):
- High School Diploma or equivalent, with 3-5 years of related experience or training
- Minimum of 3-5 years of experience in a medical clinic or hospital setting
- Two years of experience related to healthcare insurance verification and/or billing
- Knowledge of clinical terminology and understanding of patient treatment plans
- Strong oral and written communication skills, along with strong analytical capabilities
How to Stand Out (Preferred Qualifications):
- Additional coursework in business, computers, or healthcare administration
- Experience in a medical or surgical specialty clinic
- Current knowledge of hospital operations, utilization management, and managed care reimbursement
- General understanding of revenue cycle processes, including billing and coding
- Strong interpersonal communication and negotiation skills
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The Henry Ford Health System is a comprehensive, integrated, non-profit health care organization in Metro Detroit.
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