Authorization Coordinator

Wilson N. Jones Regional Medical Center; Sherman (TX); On-site; USD 40,000 - 60,000; Full time

Job summary

Wilson N. Jones Regional Medical Center in Sherman, Texas is seeking an Authorization Specialist to verify inpatient/observation authorizations and coordinate with Case Management to ensure proper documentation is sent to insurance providers.

You will support outpatient surgery, testing, and inpatient scheduling to confirm benefits and complete authorizations, serving as the primary contact for referring physicians on authorization requests and collaborating with registration, surgery, imaging,

Qualifications

• Minimum 2 years authorization experience in hospital setting preferred; insurance verification experience required.
• Knowledge of insurance requirements for authorizations.
• Effective written and verbal communication skills.
• Ability to multi-task, prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer Services experience required.
• High School Graduate or GED equivalent required.

Responsibilities

• Verify inpatient/observation authorizations have been requested.
• Follows up with Case Management in regards to documentation sent to insurance company.
• Works outpatient surgery, outpatient testing and inpatient schedules surgery list to verify benefits and authorization has been completed.
• Main contact for referring physician regarding authorization requested from insurance.
• Works closely with registration staff, surgery scheduling staff, imaging scheduling staff, case management staff and business office staff on issues regarding authorizations.

Skills

Hospital authorization experience

Insurance verification

Medical terminology knowledge

Effective communication

Multi-tasking

Education

High School Diploma or GED

Job description

JOB SUMMARY:

Verifies inpatient/observation authorizations have been requested. Follows up with Case Management in regards to appropriate documentation sent to insurance company. Works outpatient surgery, outpatient testing and inpatient schedules surgery list to verify benefits and authorization has been completed. Main contact for referring physician regarding authorization requested from insurance. Works closely with registration staff, surgery scheduling staff, imaging scheduling staff, case management staff and business office staff on issues regarding authorizations.

EDUCATION, EXPERIENCE, TRAINING

• Minimum 2 years authorization experiences in hospital setting preferred; insurance verification experience required.
• Knowledge of insurance requirements for authorizations.
• Knowledge of medical terminology.
• Effective written and verbal communication skills.
• Ability to multi-task, prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer Services experience required.
• High School Graduate or GED equivalent required.