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Central Authorization Specialist
Henry Ford Health. Centrally facilitate the procurement of insurance authorizations for ordered procedures and post-operative care .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare insurance verification, authorization procurement, and process improvement methodologies to enhance workflows and patient satisfaction. Strong communication and analytical skills are essential for interpreting clinical documentation and managing authorization roadblocks.
Highest-signal resume keywords
Healthcare Insurance VerificationAuthorization ProcurementProcess Improvement MethodologiesStrong Oral And Written CommunicationCoding Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance AuthorizationHealthcare BillingClinical TerminologyAnalytical SkillsDocumentation Interpretation
Soft Skills
Interpersonal SkillsCommunication Skills
Tools & Technologies
Computer Literacy
Industry Keywords
Medical Clinic SettingSurgical Specialty ClinicPatient Satisfaction
About the role
Key responsibilities & impact- Centrally facilitate the procurement of insurance authorizations for ordered procedures and post-operative care
- Validate obtained authorizations
- 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
- Provide timely and accurate information to payors while managing the cost of care
Requirements
What you’ll need- 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
- Highly computer literate
- 2 years of experience in healthcare insurance verification and/or billing
- 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
Comp & perks- Opportunities for career growth
- Collaboration with diverse teams
- Continuous learning and innovation
- Meaningful, mission-driven work in healthcare
- Supportive work environment
- Access to public transportation and local amenities