Remote Outpatient Authorization Specialist

University Of Michigan; Ann Arbor (MI); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Michigan Medicine is seeking an Authorization Specialist to facilitate outpatient insurance authorizations across service lines. You will ensure payor requirements are met and authorizations are obtained timely before services, acting as a subject matter expert in authorization processes and collaborating with leadership on workflow improvements.

The role emphasizes strong customer service, accurate CPT coding, and coordination with referring providers and insurers to minimize delays and denials.

Qualifications

• High school diploma or equivalent; health insurance/healthcare setting experience essential.
• Outstanding customer service, written and verbal communication skills.
• Ability to prioritize and handle multiple tasks with accuracy and timeliness.

Responsibilities

• Complete all aspects of the insurance pre-authorization process within required timeframes.
• Apply CPT codes for planned outpatient services and provide codes to payors.
• Prioritize and procure all required authorizations prior to service to reduce cancellations.
• Act as SME in insurance authorization requirements and timelines; communicate opportunities for process improvements.
• Refer patients to appropriate financial clearance resources when needed.
• Document actions, payor/patient contacts, and authorization outcomes clearly." ,
• Attend operational meetings and utilize LEAN thinking to improve workflows.
• Collaborate with team to standardize processes and meet Revenue Cycle goals.

Skills

Customer service

Communication

Multi-tasking

Teamwork

Prioritization

Computers

Software basics

Education

Associate degree

Tools

EPIC system

Job description

Michigan Medicine is seeking an Authorization Specialist to facilitate outpatient insurance authorizations across service lines. You will ensure payor requirements are met and authorizations are obtained timely before services, acting as a subject matter expert in authorization processes and collaborating with leadership on workflow improvements.

The role emphasizes strong customer service, accurate CPT coding, and coordination with referring providers and insurers to minimize delays and denials.