Job Description

Central Authorization Specialist / Full Time / Remote - Michigan Residents

Henry Ford Health invites applications for the Central Authorization Specialist role, responsible for centrally facilitating the procurement of insurance authorizations for ordered procedures and post?operative care. The Specialist will validate authorizations, provide continuous education, and deliver feedback to a multidisciplinary team in order to manage care costs and supply timely and accurate information to payors.

Responsibilities

The Central Authorization Specialist will play a key role in driving performance improvements by identifying and addressing workflow, educational, and process needs. The specialist is accountable for a designated caseload, will ensure successful authorizations are procured, and will act as a centralized resource for assigned specialty across all sites of practice to maintain standardized procurement of authorizations.

Qualifications

• High school diploma or equivalent; 3?5 years related experience or training.
• Minimum 3?5 years of experience in a medical clinic, hospital, or corporate setting; highly computer literate.
• At least two years of experience in healthcare insurance verification and/or billing.
• Two to three years of progressively responsible related work experience.
• Knowledge of clinical terminology, coding, and billing processes.
• Ability to interpret RN or physician notes to facilitate authorizations.
• Strong oral and written communication skills.
• Strong analytical and data management skills.
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients.
• Excellent organizational and time?management skills.
• Preferred additional coursework in business, computers, or health?care administration.
• Preferred experience in a medical or surgical specialty clinic.
• Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement.
• General understanding of revenue cycle, especially billing, coding, charge capture, and reimbursement.
• Strong interpersonal communication and negotiation skills.

Additional Information

• Organization: Corporate Services
• Department: CBO Central Authorization Unit
• Shift: Day Job

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