Admissions and Authorization Specialist

Location: Northern

## Description
*
* Job Title:

Admissions & Authorization Specialist
** We're seeking a detail-oriented and efficient Admissions & Authorization Specialist to join our Patient Access team. In this role, you'll play a crucial part in facilitating financial reimbursement and minimizing the organization's financial risk. Your work will directly support our mission by helping us operate efficiently and sustainably.
** About Speare Memorial Hospital
** Speare Memorial Hospital is a 25-bed critical access hospital serving dozens of communities in the Lakes Region. We are passionately committed to providing exceptional, local care to our friends, families, neighbors, and communities at large.
* Mission*:
To work together to serve the needs of our patients and community.
* Vision*: A community where all can achieve optimal health.
* Values*:
Kindness, Collaboration, Patient & Family-Centered, Safety, Excellence, Efficiency, and Professionalism.
** What You'll Do:
** Authorization & NOA Responsibilities:
* Review scheduled services to determine authorization requirements based on payer guidelines
* Submit timely Notice of Admission (NOA) to CMS and private payers within the required 24-48 hour regulatory window to avoid reimbursement penalties
* Initiate and complete prior authorizations via payer portals, phone, or fax
* Obtain and verify required clinical documentation to support medical necessity for both authorization forms and NOA submissions
* Track and follow up on authorization and NOA status to prevent delays, denials, or  untimely filing  reductions
* Communicate authorization outcomes and NOA-related issues to clinical and billing departments

Patient Access/Registrar Backup Responsibilities:
* Greet and direct patients and visitors appropriately
* Register patients for hospital services
* Verify demographic and insurance information
* Perform real-time insurance eligibility verification
* Obtain required patient signatures and provide  Important Message from Medicare  (IM) or  Notice of Medicare Non-Coverage  (NOMNC) where applicable

General Responsibilities
* Maintain patient confidentiality and HIPAA compliance
* Participate in training and continuing education
* Support revenue cycle process improvements
* Demonstrate strong customer service and professionalism## Qualifications
*
* What We're Looking For:

*
* Required:

* High School Diploma
* 1-2 years healthcare experience required
* Knowledge of insurance authorization workflows
* Attention to detail and accuracy
* Strong communication and organizational skills
* Ability to multitask in a fast-paced environment
* Proficiency in EMR systems and payer portals
* Ability to work independently and escalate appropriately

Preferred:
* Associate's Degree
* Prior authorization Notice of Admission filing, and Meditech experience highly preferred
* * Community Connection*:
Be part of an organization deeply invested in local health and wellness.
* * Collaborative Culture:
* Work alongside dedicated professionals who genuinely care about their work and each other.
* * Professional Growth:
* Opportunities for continuing education and career development.
* * Comprehensive Benefits:*+ Competitive salary+ Health, dental and vision insurance+ Health savings accounts with employer contributions+ 403(b) retirement plans with generous employer contributions+ Lifestyle Savings Account reimbursement program+ Tuition Assistance and Student Loan Repayment programs+ Employee recognition and appreciation programs+ Generous Earned Time accrual+ Short-Term & Long-Term Disability+ Life insurance
** Our Commitment
** Speare Memorial Hospital is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that a diverse workforce strengthens our ability to serve our equally diverse community.

Join us in our mission to provide compassionate, high-quality healthcare to our community.