Job description
Job Summary
The Authorization Specialist III in Healthcare is tasked with managing the authorization process for medical services, ensuring compliance with guidelines and policies. This role plays a pivotal part in facilitating patient care while optimizing operational efficiency within the healthcare system.
Responsibilities
- Review and assess authorization requests for medical procedures and services.
- Collaborate with healthcare providers to gather necessary information for authorizations.
- Maintain accurate records and documentation of authorizations in accordance with regulatory standards.
- Communicate with patients and healthcare teams regarding authorization statuses and requirements.
- Identify trends in authorization requests to enhance processes and address potential issues.
Qualifications
- High school diploma or equivalent; a degree in healthcare or a related field is preferred.
- Minimum of 3 years of experience in healthcare authorization or related roles.
- Strong understanding of insurance processes and regulations.
- Excellent communication and interpersonal skills.
- Proficient in using medical coding systems and authorization software.
Location
City, State Zip
Work Arrangement
Full-time position; details on remote or on-site work to be provided during the hiring process.
TwelveStone Health Partners Inc provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
