Care Access & Authorization Specialist - Flexible Hours

CommonSpirit Health; Woodland (CA); On-site; USD 38,000 - 43,000; Full time

Job summary

Dignity Health Medical Foundation in California seeks an Authorization Specialist to verify and update patient demographics and insurance data, and to pre-authorize coverage for procedures. You will schedule and manage appointments using IDX, while ensuring high-quality patient service.

You will obtain authorizations, interact with provider staff, screen for ABN when needed, and support billing to maximize reimbursement. Strong attention to detail and confidentiality are essential.

Qualifications

• Must read, write and speak English and type at least 35 wpm.
• Experience with clerical tasks and aptitude testing.
• Familiarity with Windows-based systems and business communications.

Responsibilities

• Verify and update patient demographics and insurance data in EMR/practice systems.
• Schedule, cancel, reschedule and coordinate patient appointments using IDX.
• Obtain internal/external prior authorizations and coordinate with staff.
• Interface with provider office staff for authorization information.
• Perform Advanced Beneficiary Notice screening for referrals to other departments.
• Collaborate with billing to maximize reimbursement through appeals.
• Maintain accurate records and update demographics/insurance as needed.

Skills

English language skills

Typing speed 35 wpm

Clerical aptitude

Aptitude testing

Confidential data handling

Customer service orientation

Windows OS familiarity

Insurance carrier knowledge

Independent work

Time management

Education

High School Diploma or GED

Job description

Dignity Health Medical Foundation in California seeks an Authorization Specialist to verify and update patient demographics and insurance data, and to pre-authorize coverage for procedures. You will schedule and manage appointments using IDX, while ensuring high-quality patient service.

You will obtain authorizations, interact with provider staff, screen for ABN when needed, and support billing to maximize reimbursement. Strong attention to detail and confidentiality are essential.