Authorization Specialist – II

Saint Francis Health System

. Ensure accuracy of insurance information and obtain prior authorization and predetermination requirements for non-oncology infusions, oncology infusions, and radiation oncology .

Posted 10/2/2026full-timeTulsa • Oklahoma • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance verification and authorization processes, with a strong understanding of medical billing and coding. Capable of effectively communicating with healthcare professionals and coordinating patient information while ensuring compliance with payer guidelines.

Highest-signal resume keywords

Benefits Verification ExperienceAuthorization ExperienceMedical Billing KnowledgeCPT Coding ReviewExcellent Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance TerminologyPre-Registration ExperienceTyping 75 WPMPatient Eligibility NavigationClinical Documentation Review

Soft Skills

Detail OrientedOrganizational SkillsInterpersonal Skills

Tools & Technologies

PC SkillsBasic Software Skills

Industry Keywords

HealthcareInsurance GuidelinesNCCN GuidelinesAuthorization CodesPatient Health Information

About the role

Key responsibilities & impact

Ensure accuracy of insurance information and obtain prior authorization and predetermination requirements for non-oncology infusions, oncology infusions, and radiation oncology
Monitor patient, referral, and denial work queues to identify encounters requiring pre-registration, verification, authorization, or corrections
Process encounters according to assignment and meet daily and weekly productivity goals
Evaluate physician orders and pre-screen for medical necessity
Review treatment plan frequency and duration and communicate with ordering providers or clinical staff regarding order revisions
Review clinical documentation for CPT and diagnosis codes supporting authorization and precertification according to payer guidelines
Monitor, review, and process authorizations for accuracy, timeliness, and insurance-guideline compliance
Consult with pharmacy team members regarding provider-ordered drugs, payer preferences, authorization codes, and treatment-regimen appropriateness under NCCN and payer guidelines
Coordinate with patients, referring physician offices, referring locations, scheduled service areas, financial counselors, case managers, and others to obtain or provide information
Document pertinent information and efforts in the computer system according to department standards
Protect the privacy and security of patient health information
Work directly with patients, customers, healthcare professionals, and staff by telephone or face-to-face interaction

Requirements

What you’ll need

High School Diploma or GED
Minimum 2 years of benefits verification or authorization experience, or 3 years of pre-registration experience
Post-secondary education may be substituted for 2 years of experience
Basic healthcare knowledge and insurance terminology, including medical billing and insurance follow-up processes
PC and basic software skills
Ability to type 75 WPM
Excellent oral and verbal communication skills
Ability to navigate insurance websites to access patient eligibility and payment information
Ability to organize and prioritize work and be detail oriented
Ability to interact with physicians, physician offices, and all levels of health system team members
Must live within commuting distance of Tulsa, Oklahoma
Must complete 3 months of onsite training
Licensure, registration, and certification: None

Benefits

Comp & perks

Full-time employment
Monday-Friday schedule, 8:30am-5:00pm following completion of training
Virtual Office arrangement after training
Employer Equal Employment Opportunity protections for veterans and people with disabilities