Impactful Medical Authorization Specialist

Siho Insurance Group; Columbus, Northern (IN, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

SIHO Insurance Group in Indiana seeks an Authorization Specialist to support the Medical Management Team. This non-exempt role handles inquiries, data entry, and coordination of the authorization process, without clinical decision making.

You will screen for precertification, enter demographic and clinical data, and assist with education of provider offices while maintaining HIPAA compliance and efficient workflow.

Qualifications

• High School diploma or GED required; some college preferred.
• Excellent telephone skills and professional demeanor.
• General knowledge of Microsoft Office software.
• Knowledge of medical terminology or willingness to learn.
• Strong organizational and prioritization abilities.
• Able to communicate clearly with SIHO customers.
• Team-oriented with the Medical Management group.
• Flexible and responsive to department needs.
• Consistently meet performance requirements.
• Professional appearance and strong interpersonal skills.

Responsibilities

• Respond to telephone inquiries from physician offices and provide support to the Medical Management Team.
• Enter structured clinical data into the authorization system accurately.
• Screen for precertification requirements and eligibility before UR review.
• Triage calls and coordinate with providers for UR decisions.
• Enter authorization data and transfer to appropriate reviewers.
• Assist in education of provider offices on Medical Management processes.
• Perform non-clinical Medical Management functions as needed.
• Obtain clinical notes and contact providers to support daily operations.

Skills

Excellent telephone skills

Microsoft Office knowledge

Medical terminology knowledge

Willingness to learn

Organizational skills

Prioritization skills

Clear communication

Team cooperation

Flexibility

Performance focus

Professional appearance

Interpersonal communication

Education

High School diploma or GED

Some college

Job description

SIHO Insurance Group in Indiana seeks an Authorization Specialist to support the Medical Management Team. This non-exempt role handles inquiries, data entry, and coordination of the authorization process, without clinical decision making.

You will screen for precertification, enter demographic and clinical data, and assist with education of provider offices while maintaining HIPAA compliance and efficient workflow.