Inpatient Authorization & Revenue Optimization Specialist

Brown University Health; Providence (RI); On-site; USD 30,000 - 50,000; Full time

Job summary

Brown University Health is seeking an Authorization Specialist to secure timely prior authorizations for inpatient and outpatient procedures, verify coverage, and document all authorizations in Epic. You will analyze payer contracts to support accurate reimbursement, collaborate with revenue cycle and clinical teams, and provide clear financial counseling to patients while ensuring HIPAA compliance.

The role requires strong communication, attention to detail, and the ability to work in a

Qualifications

• High school diploma or equivalent; Associate’s or Bachelor’s preferred.
• Minimum 2 years in medical authorization, patient access, or revenue cycle operations, preferably in surgical/ambulatory care.

Responsibilities

• Authorization & verification: obtain and document prior authorizations for inpatient and outpatient procedures; verify coverage and eligibility; ensure authorizations are in place to avoid delays; notify admission for inpatient cases.

Skills

Healthcare finance

Insurance verification

Payer authorization

Contract interpretation

Analytical skills

Communication skills

EHR systems (Epic Cerner)

MS Office

Education

High school diploma or equivalent

Associate's or Bachelor's in healthcare administration/finance or related field

Job description

Brown University Health is seeking an Authorization Specialist to secure timely prior authorizations for inpatient and outpatient procedures, verify coverage, and document all authorizations in Epic. You will analyze payer contracts to support accurate reimbursement, collaborate with revenue cycle and clinical teams, and provide clear financial counseling to patients while ensuring HIPAA compliance.

The role requires strong communication, attention to detail, and the ability to work in a