Healthcare Prior Authorization Specialist

St. Francis Medical Center; Oregon; Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health coverage

Discount program

ETO

Retirement matching

Education assistance

Other benefits

Job summary

Saint Francis Healthcare System is seeking an Authorization Specialist to review prior authorization requests for medical services, including surgeries and home health, and to determine benefits in line with plan guidelines. The role requires independent problem solving and accurate documentation while protecting confidential information.

You will collaborate across departments to ensure efficient authorization workflows.

Qualifications

• High school graduate or equivalent required.
• One year of healthcare experience obtaining insurance authorizations strongly preferred.
• Experience with CPT and ICD codes is a plus.

Responsibilities

• Review requests for prior authorization of medical services.
• Make benefit determinations and document accurately.
• Act as liaison with other departments to ensure smooth workflows for authorizations.
• Maintain confidentiality of patient information in accordance with system guidelines.

Skills

Prior authorization

Healthcare experience

Documentation accuracy

Education

High school diploma or equivalent

Job description

Saint Francis Healthcare System is seeking an Authorization Specialist to review prior authorization requests for medical services, including surgeries and home health, and to determine benefits in line with plan guidelines. The role requires independent problem solving and accurate documentation while protecting confidential information.

You will collaborate across departments to ensure efficient authorization workflows.