Specialty Clinic Authorization Specialist
Listed on 2026-10-10
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Healthcare
Healthcare Administration, Medical Receptionist, Medical Office
- Location 1500 S MAIN,EATON RAPIDS, MI, 48827,United States
- Employee Type Full Time
Performs timely pre-certifications, pre-authorizations, outpatient surgical procedures and appropriate outpatient studies, including but not limited to: CT’s, MRI’s, and in-office injection procedures. Interacts with the appropriate departments when necessary.
Obtains and maintains appropriate access to payor and third-party websites to obtain authorizations/pre-certifications electronically as well as verify insurance eligibility for patients.
Assists with answering telephones, registering patients, sorting and delivering mail, or any other department duty as needed. Performs any other duties as assigned by the Manager.
Greets all patients, families, and clinic visitors with a positive, cheerful attitude.
RequirementsBLS required within 90 days of hire and maintained throughout employment.
High school diploma or equivalent required. Prior healthcare or office experience, medical terminology and insurance knowledge preferred. Experience with scheduling/registration systems, electronic health records (EHR/EMR), email, and basic data entry preferred. Confidentiality/HIPAA awareness, ability to protect patient health information required.
Verifies and obtains patient insurance and benefit details, pre-certification as appropriate for the following: outpatient/inpatient surgeries and procedures including CAT scans, MRIs, in-office injection procedures and any other outpatient services as required by healthcare and insurance guidelines. Handles patient billing or insurance questions. Registers all patients all patient types using the hospital's EHR system to obtain correct demographic, financial, social, clerical and clinical information.
Does scanning into patient’s medical record. Answers telephone calls and appropriately takes messages within the medical record, schedules appointments, and/or directs call to appropriate individual.
- Hours Per Pay Period Full Time 72-80 Hours per bi-weekly pay
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