Insurance Authorization Specialist - Full Time - Days
Position Summary
The Insurance Authorization Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrating a strong commitment to service excellence. The Insurance Authorization Specialist is responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation, and scheduled outpatient elective services. Utilizes electronic scheduling/registration/financial systems, payer’s websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintains proper documentation in all systems. Works closely with Managed Care and understands health insurance rule sets, manuals, and contract language.
Team Member Competencies
- Establishing Relationships
- Peer Support
- Inspiring and Motivating Others
- Demonstrating Emotional Intelligence
- Acting with Integrity
- Communicating Effectively
- Promoting Diversity and Inclusion
Physical Requirements
- Sitting for long periods of time
- Stooping, bending, standing, and stretching
- Manual dexterity for typing and computer data entry
- Work under a stressful environment
- Work independently
- Make sound decisions
- Be detail oriented
- Alert
- Self-motivated
Threshold Requirements
- Annual Joint Commission mandatory education requirements
- In-service and health requirements including attendance at new employee orientation
- TB/PPD Surveillance Program
- Maintenance of required professional licensing and/or certification(s)