Authorization Specialist​/Remote- Michigan Residents

Employer Industry: Healthcare Services

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and authorization processes
• Engage with a multi-disciplinary team to drive performance improvements
• Work in a role that utilizes subject matter expertise in healthcare insurance authorizations

• Facilitate the successful procurement of insurance authorizations for ordered procedures and post-operative care
• Validate work efforts and educate staff in physician offices regarding authorization processes
• Gather and distribute feedback related to authorization procurement to promote continuous improvement
• Act as a centralized resource for assigned specialties to ensure standardized procurement of authorizations
• Identify areas for performance improvement and implement process enhancements

• High School Diploma or equivalent, with 3-5 years of related experience or training
• Minimum of 3-5 years of experience in a medical clinic setting or relevant training in a hospital or corporate setting
• Two years of experience in healthcare insurance verification and/or billing
• Strong knowledge of coding, clinical terminology, and patient treatment plans
• Exceptional oral and written communication skills

• 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
• General understanding of revenue cycle management, including billing and coding processes
• Strong analytical and data management skills

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