Central Authorization Specialist

🔥 26 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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Henry Ford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Henry Ford Health is an academic medical center based in Michigan that provides a comprehensive range of health services to more than 2 million people. The system offers primary and preventive care, complex and specialty care, same-day/urgent and emergency care, home health and virtual care, retail services (including pharmacy and eye care), and operates an affiliated health insurance plan (Health Alliance Plan). Henry Ford Health is also a major center for research, medical education, clinical trials and healthcare innovation, with thousands of active research projects, hundreds of care locations across Michigan, and a large workforce.

📋 Description

• Validate obtained authorizations and educate procurement staff to ensure successful authorization processes • Distribute feedback from coding, billing, and denial management resources to improve authorization procurement • Apply process improvement methodologies to enhance day-to-day workflows and patient satisfaction • Act as a centralized resource for assigned specialties across all sites to standardize authorization procurement • Interpret RN or physician notes to facilitate authorization requirements • Communicate authorization roadblocks to clinical staff • Centrally facilitate procurement of insurance authorizations for ordered procedures and post-operative care • Provide timely and accurate information to payors while managing the cost of care

🎯 Requirements

• High School diploma or 3-5 years of related experience and/or training; equivalent combination of education and experience • Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate setting • 2 years of experience in healthcare insurance verification and/or billing • Highly computer literate • Coding knowledge and understanding of clinical terminology • Ability to interpret insurance records and related documentation • Strong oral and written communication, analytical, and interpersonal skills • Preferred: Experience in a medical or surgical specialty clinic • Preferred: Additional coursework in business, computers, or healthcare administration

🏖️ Benefits

• Opportunities for career growth • Collaboration with diverse teams • Mission-driven work • Culture of continuous learning and innovation • Meaningful impact in healthcare

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