Authorization Specialist

Western Missouri Medical Center; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

Western Missouri Medical Center is seeking a detail‑oriented Insurance Benefits Verifier to support patients and clinicians. The role involves verifying benefits, obtaining authorizations, and ensuring accurate demographic and insurance data.

The candidate will collaborate with payers, perform pre-registration tasks, and determine patient financial responsibility, including co-pays and deductibles. Prior medical support experience is preferred.

Qualifications

• High school diploma or equivalent.
• Typing 45+ WPM.
• Previous clerical experience.
• Great customer services skills.
• Previous medical support services experience.
• Must be self-motivated and follow hospital policies and practices.

Responsibilities

• Verify insurance benefits for the patient.
• Work with payer to validate and obtain authorization for services.
• Follow up on denials related to authorization issues.
• Perform pre-registration duties as requested.
• Obtain correct patient demographic and insurance information.
• Determine patient’s financial responsibility (co-pays and deductibles).
• Collect MSP information for Medicare patients.
• Demonstrate competency with equipment and supplies.
• Promote professionalism in behavior.
• Meet deadlines and work without constant supervision.

Skills

Typing

Customer service

Clerical experience

Medical support

Education

High school diploma or equivalent

Job description

Description

PURPOSE STATEMENT

Complete the necessary tasks to verify insurance benefits, validate authorization requirements, and obtain authorization required for services ordered by or performed at Western Missouri Medical Center and its clinics.

ESSENTIAL FUNCTIONS

• Verify insurance benefits for the patient.
• Work directly with payer to validate and when necessary, submit to obtain authorization for services on behalf of the patient.
• Follow up on denials related to authorization issues.
• Perform pre-registration duties as requested.
• Obtain correct patient demographic and insurance information.
• Determine patient’s financial responsibility (i.e. co-pays and deductibles).
• Collect and enters accurate MSP information for Medicare patients.
• Demonstrate competency with equipment, utilizes supplies and equipment properly.
• Demonstrate behaviors which promote professionalism.
• Work without constant supervision, meets deadlines, makes decision based on relevant facts.
• Maintain a positive attitude and behaviors in keeping with the Medical Centers Mission, Vision and Value Statement of Behavior.
• Promote and instills the teamwork concept by assisting co-workers when appropriate.
• Collaborate with other internal customers, providers, as appropriate, to accomplish the work of the department.
• Consistently follow established Departmental, Human Resources and Hospital Policies and Procedures.
• Demonstrate willingness to accept additional assignments.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Requirements

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• High school diploma or equivalent.
• Typing skills of 45+ WPM.
• Previous clerical experience.
• Great customer services skills.
• Previous medical support services experience.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

PHYSICAL/MENTAL REQUIREMENTS

• Must be able to sit and stand, intermittent 8 to 10 hours a day.
• Must be able to use standard office equipment, including the telephone and computer keyboard.
• Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
• Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
• Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
• Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs.
• Occasionally walks on uneven surfaces.