Central Authorization Specialist

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Validate authorizations received and provide education to procurement staff to ensure effective authorization processes.

• Share insights from coding, billing, and denial management resources to enhance the authorization procurement process.

• Utilize process improvement methodologies to refine daily workflows and elevate patient satisfaction.

• Serve as a centralized resource for designated specialties across all locations to standardize the authorization procurement process.

• Analyze RN or physician notes to clarify authorization requirements and relay any obstacles to clinical staff.

• Oversee care costs and deliver timely, precise information to payors.

⛳️ Requirements

• High School diploma or 3-5 years of relevant experience and/or training; a combination of education and experience is acceptable.

• At least 3-5 years of experience in a medical clinic environment or training in a hospital or corporate context.

• Proficient with computers, with a minimum of 2 years of experience in healthcare insurance verification and/or billing.

• Knowledge of coding and familiarity with clinical terminology.

• Capability to interpret insurance records and associated documentation.

• Excellent oral and written communication, analytical, and interpersonal skills.

• Experience in a medical or surgical specialty clinic is preferred.

• Additional coursework in business, computers, or healthcare administration is preferred.

🏝️ Benefits

• Employees have the option to work remotely.

• Opportunities for career advancement.

• Collaboration with diverse teams.

• Commitment to continuous learning and innovation.

• Engaging, mission-driven work in the healthcare sector.