Central Authorization Specialist

Job Summary

A company is looking for a Central Authorization Specialist to facilitate insurance authorizations for procedures and post-operative care.

Key Responsibilities

• Procure insurance authorizations through quality validation and education of staff
• Provide feedback to improve authorization procurement based on coding, billing, and denial management insights
• Act as a centralized resource for standardized procurement of authorizations across various practice sites

Required Qualifications, Training, and Education

• High School diploma or 3-5 years of related experience or training
• Minimum of 3-5 years experience in a medical clinic or corporate setting
• Two years of experience in healthcare insurance verification and/or billing
• Knowledge of coding, clinical terminology, and patient treatment plans
• Ability to interpret insurance records and communicate effectively with healthcare staff