Hospital Authorization Specialist

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🔥 0 minutes ago

☕ Washington – Remote

☕ Washington – Remote

💵 $20 - $37 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Cardiac Study Center (CSC), inc., PS

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

Cardiac Study Center (CSC), inc. , PS is a leading medical staffing agency specializing in cardiology. The center provides a collaborative environment for healthcare professionals to work alongside top physicians and clinicians in the field. CSC is committed to improving patient outcomes by offering extensive training, development opportunities, and access to advanced medical facilities and technology. They actively seek to fill various roles including Nurses, Medical Assistants, Schedulers, Revenue Cycle Professionals, and Administrative Staff, aiming to enhance the cardiology workforce.

📋 Description

• Review and manage daily hospital procedure schedules to identify pre-authorization needs • Obtain authorizations from insurance companies using phone, fax, and online portals • Verify that CPT and ICD-10 codes align with scheduled procedures and insurance requirements • Collaborate with providers to handle peer-to-peer requests and appeal denied authorizations • Communicate with patients about procedure approvals, reschedules, or cancellations • Read medical charts to ensure procedures align with providers’ plans • Work closely with hospital pre-service teams to confirm all authorizations are accurate and complete • Maintain up-to-date knowledge of insurance guidelines and ensure compliance with all HIPAA regulations

🎯 Requirements

• High School Diploma or GED • 1-3 years of experience in medical authorization, healthcare administration, or a related field • Strong understanding of medical terminology and insurance guidelines • Excellent attention to detail and organizational skills • Familiarity with ICD-10 and CPT coding • Prior experience with pre-authorizations or appeals processes • Experience using healthcare systems like EPIC or other EMR platforms

🏖️ Benefits

• Comprehensive health insurance (with zero-cost premiums) • Dental & vision plans • FSA/HSA options • Retirement matching • Paid vacation & floating holidays • Mental health support