Central Authorization Specialist Full Time Work from Home (Metro Detroit)

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Business (Non-Clinical)
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2114734 Requisition #
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EDUCATION/EXPERIENCE REQUIRED:

  • High School or 3 - 5 years related experience and/or training; or equivalent combination of education and experience, required.
  • Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate setting; must be highly computer literate, required.
  • Two years of experience related to healthcare insurance verification and/or billing required.
  • Approximately two to three years progressively more responsible related work experience necessary in order to gain in-depth understanding or organizational policies, procedures and operations, in order to assume a variety of high-level administrative details.
  • Coding knowledge. Knowledge of clinical terminology.
  • Understanding of patient treatment plans for purposes of obtaining authorizations.
  • Ability to interpret RN or Physician notes in order to facilitate obtaining authorizations.
  • Ability to evaluate & communicate to RN/Physician staff additional requirements or roadblocks.
  • Additional coursework in business, computers or health care administration, preferred.
  • Experience in a medical or surgical specialty clinic, preferred. Ability to interpret insurance records and related documentation.
  • Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred.
  • General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement, preferred.
  • Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
  • Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families if required.
  • Strong oral and written communication skills required.
  • Strong analytical and data management.
  • Ability to work with all levels of management.
  • Strong interpersonal communication and negotiation skills and experience interacting with clinicians and finance personnel.

Overview

HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals,          companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.


Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health care systems, is a national leader in clinical care, research and education. The system includes the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory network and many other health-related entities throughout southeast Michigan, providing a full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care. The health system also is a major economic driver in Michigan and employs more than 24,600 employees.  Henry Ford is a 2011 Malcolm Baldrige National Quality Award recipient. The health system is led by President and CEO Wright Lassiter III.  To learn more, visit henryford.com

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice.  Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life.  As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services. Employee's classified as contingent status are not eligible for benefits

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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