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Authorization Specialist
Saint Francis Health System. Monitor patient, referral, and denial work queues to identify encounters requiring pre-registration, verification, authorization, or corrections .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in patient authorization processes, benefits verification, and medical billing, while effectively coordinating with healthcare professionals and patients. Strong organizational skills and attention to detail are essential for managing multiple tasks in a fast-paced environment.
Highest-signal resume keywords
Benefits VerificationAuthorization ExperienceMedical Billing KnowledgeHealthcare TerminologyCommunication 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
CPT CodingDiagnosis CodingPre-RegistrationInsurance GuidelinesPatient DocumentationComputer SkillsOffice Machine ProficiencyInsurance Website NavigationDetail OrientationOrganizational Skills
Soft Skills
Verbal CommunicationWritten CommunicationCustomer ServiceIndependent Decision-MakingPrioritization
Tools & Technologies
Fax MachineCopierScannerComputer System
Industry Keywords
Patient Health InformationReferral CoordinationInsurance Follow-UpHealthcare EnvironmentProfessional Business Environment
About the role
Key responsibilities & impact- Monitor patient, referral, and denial work queues to identify encounters requiring pre-registration, verification, authorization, or corrections
- Work encounters according to assignment while meeting daily and weekly productivity goals
- Evaluate physician referral and authorization requirements and ensure requirements are met before procedures
- Review clinical documentation for CPT and diagnosis code information supporting authorization/precertification
- Monitor, review, and process authorizations in accordance with timelines and insurance guidelines
- Coordinate with departments and ancillary areas for special needs or resources
- Counsel clinical partners and patients to obtain additional payer-required information
- Coordinate with patients, referring physician offices, referring locations, scheduled service areas, financial counselors, case managers, and others
- Document pertinent information and efforts in the computer system
- Protect the privacy and security of patient health information
- Work independently and make minor decisions in a complex technical or professional field
- Work with patients, customers, healthcare professionals, and staff by telephone or face-to-face
Requirements
What you’ll need- High School Diploma or GED
- 1–2 years relevant experience
- 1 year of benefits verification or authorization experience, or 2 years of pre-registration experience
- Post-secondary education may be substituted for 1 year of experience
- Basic healthcare and insurance terminology
- Basic computer knowledge and skills
- Proficiency with office machines, including fax, copier and scanner
- Ability to navigate insurance websites to access patient, eligibility and payment information
- Good written and verbal communication skills
- Phone-based contact center skills involving multiple-line phone systems
- Ability to organize and prioritize work
- Detail-oriented
- Understanding of a professional business environment
- Basic knowledge of medical billing and insurance follow-up activity
- Must be able to commute to the Tulsa, OK area
Benefits
Comp & perks- Full-time schedule
- Monday-Friday schedule
- 8:00am-4:30pm schedule