Remote Medical Authorization Specialist

Montgomery College; Cape Girardeau (MO); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Total Rewards benefits

Education Assistance benefits

Job summary

Saint Francis Healthcare System in Missouri is seeking an Authorization Specialist to review requests for prior authorization of medical services, including elective and outpatient surgeries, home health, and expedited cases, ensuring compliance with health plan guidelines.

The role requires attention to detail, ability to work independently, and collaboration across departments to maintain smooth workflows and accurate documentation.

Qualifications

• High school diploma or equivalent.
• One year of healthcare experience with insurance authorizations preferred.
• Experience with CPT and ICD codes is a plus.
• Shift: Monday–Friday, 8:00am–4:30pm.

Responsibilities

• Review requests for prior authorization of medical services per guidelines.
• Determine benefits and document thoroughly in the system.
• Coordinate with departments to ensure smooth workflow and accurate information.

Skills

Insurance authorizations

CPT/ICD codes

Customer service

Education

High school diploma

Job description

Saint Francis Healthcare System in Missouri is seeking an Authorization Specialist to review requests for prior authorization of medical services, including elective and outpatient surgeries, home health, and expedited cases, ensuring compliance with health plan guidelines.

The role requires attention to detail, ability to work independently, and collaboration across departments to maintain smooth workflows and accurate documentation.