Care Access & Authorization Specialist

TSAOG Orthopaedics & Spine; San Antonio (TX); Sur place; USD 42 000 - 64 000; Plein temps

Résumé du poste

TSAOG Orthopaedics & Spine is seeking a detail-oriented Scheduling Authorization Specialist to manage the authorization process for medical services. The role ensures timely approvals, maintains accurate records, and supports providers and patients throughout the authorization workflow.

You will liaise with healthcare providers, insurers, and patients, staying current on policy changes and ensuring adherence to regulations.

Qualifications

• High school diploma or equivalent; additional education in healthcare administration or a related field is a plus.
• Experience in a healthcare setting, especially in authorization or billing, is preferred.
• Strong attention to detail and organization.
• Excellent communication and interpersonal skills.
• Proficient with EHR systems and Microsoft Office Suite.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance processes is an advantage.
• Regular and predictable attendance required.

Responsabilités

• Review and process referral requests for medical services and procedures.
• Communicate with providers, insurers, and patients to gather required information.
• Ensure compliance with authorization regulations and policies.
• Maintain accurate records of authorization requests and outcomes in the system.
• Follow up on pending authorizations and resolve issues.
• Provide guidance to healthcare providers regarding authorization requirements.
• Stay updated on changes in insurance policies and regulations affecting authorizations.

Formation

High school diploma or equivalent

Healthcare administration education (related field)

Outils

EHR proficiency

Microsoft Office

Description du poste

TSAOG Orthopaedics & Spine is seeking a detail-oriented Scheduling Authorization Specialist to manage the authorization process for medical services. The role ensures timely approvals, maintains accurate records, and supports providers and patients throughout the authorization workflow.

You will liaise with healthcare providers, insurers, and patients, staying current on policy changes and ensuring adherence to regulations.