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Central Authorization Specialist /Full Time/ Remote-Michigan Residents
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Job Description
- Req#: 2520407
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 drive process improvements and impact patient care
- Work in a dynamic environment that values education and feedback
- Engage with a multidisciplinary team to enhance authorization processes
What to Expect (Job Responsibilities):
- Facilitate the successful procurement of insurance authorizations for procedures and post-operative care
- Validate work efforts and educate staff in ordering physician offices to ensure successful authorizations
- Gather feedback from coding, billing, and denial management resources to promote continuous improvement
- Act as a centralized resource for assigned specialties to standardize authorization procurement across all sites
- Identify areas for performance improvement in day-to-day workflows and patient satisfaction
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 in healthcare insurance verification and/or billing
- Strong knowledge of clinical terminology and coding
- Excellent organizational, time management, and 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 knowledge of hospital operations and managed care reimbursement
- General understanding of the revenue cycle, including billing and coding
- Strong analytical skills and experience working with management levels
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