Authorization Coordinator

AHS - Sherman Medical Center; Sherman (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

AHS - Sherman Medical Center is seeking an Authorization Specialist to verify inpatient/observation authorizations and coordinate with Case Management to ensure proper documentation is sent to insurers.

The role involves handling outpatient surgery and testing schedules, confirming benefits and approvals, and serving as the main contact for referring physicians on authorization requests. Collaboration with registration, scheduling, imaging, case management, and business office teams is essential.

Qualifications

• High school diploma or GED is required.
• Effective written and verbal communication skills.
• Ability to multi-task and prioritize to meet timelines.
• Analytical and problem-solving skills.
• Customer service experience required.

Responsibilities

• Verifies inpatient/observation authorizations have been requested.
• Follows up with Case Management regarding documentation sent to insurance.
• Works outpatient surgery, outpatient testing and inpatient schedules surgery list to verify benefits and authorization is completed.
• Main contact for referring physicians regarding authorization requests 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

Communication

Multitasking

Problem-solving

Customer service

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.