[Hiring] System Authorization Specialist @St. Francis Medical Center

Role Description

The Authorization Specialist position is responsible for reviewing requests for prior authorization of medical services including:

• Elective and outpatient surgeries and procedures
• Home health
• Out of network requests
• Expedited requests for medical necessity

This individual is responsible for:

• Benefit determination
• Documenting completely and accurately in accordance with healthcare system guidelines

The position requires:

• Independent problem-solving
• Acting as a liaison with others outside the department
• Promoting harmonious and efficient intra and inter departmental relationships
• Delivering quality customer service
• Adhering to the Mission, Vision, Values, and Philosophy of the departments and Saint Francis Healthcare System
• Maintaining restricted or confidential information
• Performing any and all duties as assigned by Manager and Director

Qualifications

• High school graduate or equivalent required
• One year of experience in a healthcare setting obtaining insurance authorizations strongly preferred
• Experience with CPT and ICD codes is a plus

Requirements

• Standard Shift: Monday-Friday 8:00am-4:30pm

Benefits

• Comprehensive and affordable health coverage including medical, prescription, dental, and vision - available on the first of the month after hire date
• Saint Francis Medical Services Discount
• Earned Time Off (ETO) based on relevant years of work history, combining vacation, sick, holidays, and personal days into one balance
• Retirement benefits including SFHS immediate matching
• Education Assistance benefits up to $5,000 per calendar year for one year of service after graduation
• Other benefits including: Benefit Support through Health Advocate, Employee Assistance Program, Flexible Spending Accounts, Identity Theft Protection, Pet Insurance, Earned Wage Access