Central Authorization Specialist- Contingent
- 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.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at 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 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 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 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.