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Central Authorization Specialist / Full Time/ Remote
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Job Description
- Req#: 2516416
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive salary with opportunities for bonuses
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and satisfaction
- Work in a role that drives process improvement and enhances operational efficiency
What to Expect (Job Responsibilities):
- Facilitate the procurement of insurance authorizations for ordered procedures and post-operative care
- Validate work efforts and educate staff on authorization procurement processes
- Collect and distribute feedback related to authorization success to promote continuous improvement
- Act as a centralized resource for specialty authorizations across all practice sites
- Apply process improvement methodologies to enhance workflow and performance
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 setting
- Two years of experience related to healthcare insurance verification and/or billing
- Strong knowledge of clinical terminology and patient treatment plans
- Exceptional 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, utilization management, and managed care reimbursement
- Understanding of revenue cycle processes, including billing and coding
- Strong analytical and data management skills
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