Medical Authorization Specialist: Fast-Track Patient Care

Saint Francis Healthcare System; Cape Girardeau (MO); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health coverage

Discount program

Earned Time Off

Job summary

Saint Francis Healthcare System in Missouri seeks an Authorization Specialist to review prior authorization requests for medical services, surgeries, home health, and expedited cases, ensuring compliance with plan guidelines and accurate documentation. The role requires independence, problem solving, and collaboration across departments to maintain efficient workflows.

The standard hours are Monday through Friday, 8:00 am to 4:30 pm, with a commitment to patient-centered service and

Qualifications

• One year of experience in a healthcare setting obtaining insurance authorizations.
• Experience with CPT and ICD codes is a plus.

Responsibilities

• Review requests for prior authorization of medical services (elective/outpatient surgeries).
• Determine benefits according to health plan guidelines and document outcomes.
• Collaborate with departments to ensure smooth authorization workflows.
• Maintain confidentiality and adhere to system policies.

Skills

Insurance authorizations

Healthcare experience

CPT/ICD knowledge

Education

High school diploma or equivalent

Job description

Saint Francis Healthcare System in Missouri seeks an Authorization Specialist to review prior authorization requests for medical services, surgeries, home health, and expedited cases, ensuring compliance with plan guidelines and accurate documentation. The role requires independence, problem solving, and collaboration across departments to maintain efficient workflows.

The standard hours are Monday through Friday, 8:00 am to 4:30 pm, with a commitment to patient-centered service and