
Central Authorization Specialist
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Michigan.
• Validate acquired authorizations and provide training to procurement personnel to ensure effective authorization procedures.
• Relay insights from coding, billing, and denial management teams to enhance authorization procurement.
• Utilize process improvement strategies to optimize daily operations and enhance patient satisfaction.
• Serve as a central resource for designated specialties across all locations to standardize the authorization procurement process.
• Analyze RN or physician notes to clarify authorization requirements.
• Inform clinical staff about authorization obstacles.
• Centrally manage the acquisition of insurance authorizations for scheduled procedures and post-operative care.
• Assist a multidisciplinary team by confirming authorizations, offering ongoing education, and promoting process enhancements.
• High School diploma or 3-5 years of relevant experience and/or training; equivalent combinations of education and experience are acceptable.
• At least 3-5 years of experience in a medical clinic environment or training in a hospital or corporate setting.
• A minimum of 2 years of experience in healthcare insurance verification and/or billing.
• Proficient in computer use.
• Knowledge of coding and understanding of clinical terminology.
• Capability to interpret insurance records and associated documentation.
• Excellent oral and written communication, analytical, and interpersonal skills.
• Preferred: Experience in a medical or surgical specialty clinic.
• Preferred: Additional coursework in business, computers, or healthcare administration.
• Employees have the option to work remotely.
• Opportunities for professional development and career advancement.
• Collaboration with diverse teams.
• Commitment to continuous learning and innovation.
• Engage in meaningful, mission-driven work in the healthcare sector.
Pfizer
AECOM
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