Authorization Specialist I: Streamline Pre-Auth

Saint Francis Hospital, Inc.; Oklahoma City (OK); On-site; USD 36,000 - 48,000; Full time

Job summary

Saint Francis Hospital, Inc. is seeking an Authorization Specialist I who will support the revenue cycle by ensuring accurate insurance information, procuring prior authorizations, and facilitating pre-service approvals for both scheduled patient appointments and inpatient admissions.

The role emphasizes independence, meeting productivity and quality metrics, and compliance with payer guidelines. Experience in benefits verification or pre-registration is valued, with a focus on efficient

Qualifications

• High School Diploma or GED required.
• 1-2 years of relevant experience.
• 1 year of benefits verification or authorization experience or 2 years of pre-registration experience.

Responsibilities

• Monitor denials/work queues to determine encounters needing pre-registration, verification, authorization, or corrections.
• Process authorizations and validations within required timelines and payer guidelines.
• Coordinate with departments and clinicians to obtain needed information for authorization.
• Counsel patients and clinical partners to obtain additional information as required by payer.
• Maintain patient information and confidentiality in accordance with standards.

Skills

Communication skills

Phone-based contact center

Detail oriented

Organizational skills

Verbal communication

Written communication

Education

High School Diploma or GED

Job description

Saint Francis Hospital, Inc. is seeking an Authorization Specialist I who will support the revenue cycle by ensuring accurate insurance information, procuring prior authorizations, and facilitating pre-service approvals for both scheduled patient appointments and inpatient admissions.

The role emphasizes independence, meeting productivity and quality metrics, and compliance with payer guidelines. Experience in benefits verification or pre-registration is valued, with a focus on efficient