Central Authorization Specialist - Patient Access - Full Time - Allegiance Health - Jackson, MI

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Business (Non-Clinical)
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190742 Requisition #
Thanks for your interest in the Central Authorization Specialist - Patient Access - Full Time - Allegiance Health - Jackson, MI position. Unfortunately this position has been closed but you can search our 1,117 open jobs by clicking here.

EDUCATION/EXPERIENCE REQUIRED:
High School Diploma/GED and 3-5 years related experience and/or training.
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.

PREFERRED QUALIFICATIONS:
Experience in a medical or surgical specialty clinic.
Ability to interpret insurance records and related documentation.
Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement.
General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement.

     Overview

       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 2011Malcolm 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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