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Central Authorization Specialist
Henry Ford Health. Validate obtained authorizations and educate procurement staff to ensure successful authorization processes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in authorization procurement processes, including healthcare insurance verification and coding knowledge, while effectively communicating with clinical staff and managing workflows to enhance patient satisfaction.
Highest-signal resume keywords
Healthcare Insurance VerificationAuthorization ProcurementCoding KnowledgeAnalytical SkillsInterpersonal Skills
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 Records InterpretationClinical Terminology UnderstandingProcess Improvement MethodologiesBilling ExperienceCost Management
Soft Skills
Strong Oral CommunicationStrong Written CommunicationAnalytical SkillsInterpersonal Skills
Tools & Technologies
Healthcare Administration SoftwareBilling Systems
Industry Keywords
Medical Clinic SettingSurgical Specialty ClinicProcurement Staff EducationPatient Satisfaction
About the role
Key responsibilities & impact- 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 and communicate roadblocks to clinical staff
- Manage the cost of care and provide timely, accurate information to payors
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 with 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
- Experience in a medical or surgical specialty clinic preferred
- Additional coursework in business, computers, or healthcare administration preferred
Benefits
Comp & perks- Employees can work remotely
- Opportunities for career growth
- Collaboration with diverse teams
- Continuous learning and innovation
- Meaningful, mission-driven work in healthcare