Top 44 Authorization and denials Jobs in Clinton Township Mi

Central Authorization Specialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
3d
Authorization and Denials Coordinator
CompuGroup Medical —Bloomfield Hills, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Continuous improvement
- Health insurance
- Dental insurance
10d
Insurance Verification & Billing Specialist
Eastlake Cardiovascular PC —Saint Clair Shores, MI
- 8 hour shift
- Research
- Mid-level
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Denials Management Specialist
McLaren Health Care —Shelby Charter Township, MI
- Full-time
- Surgery
- 3 years
- High school diploma or GED
Billing and Benefits Coordinator
Judson Center —Warren, MI
- Full-time
- HIPAA
- Mid-level
- Office
- Disability insurance
Quick Apply
CentralAuthorizationSpecialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
7d
Insurance Accounts Receivable Specialist
Healing Haven —Madison Heights, MI
- From $55,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Epic Denials Management Operator
Deloitte —Detroit, MI
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Manager - Transplant Service Revenue Mgmt. (Detroit, MI)
Henry Ford Health —Detroit, MI
- Full-time
- Microsoft Access
- Hospital
- 5 years
- Health insurance
- Dental insurance
Epic Denials Management Coordinator
Deloitte —Detroit, MI
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Utilization Review Supervisor (PCN 1547)
Oakland Community Health Network —Troy, MI
- $70,298 - $87,873 a year
- Full-time
- Hybrid work
- LMFT
- RN License
- LPC
Quick Apply
Executive Assistant
Integrated Autism Centers —Clinton Township, MI
- $23 - $26 an hour
- Full-time
- HIPAA
- Mid-level
- Children
Quick Apply
Registration Supervisor
Corewell Health —Royal Oak, MI
- Full-time
- Acute care
- Hospital
- 3 years
Insurance verification/ Prior Auth specialist
Surgical Specialists Group of Michigan —Saint Clair Shores, MI
- Full-time
- Office
- High school diploma or GED
- Travel
- Dental insurance
- Paid time off
Quick Apply
Accounts Receivable/Cash Posting Analyst
TRILLIUM BEHAVIORAL PATHWAYS LLC —Warren, MI
- Full-time
- Customer service
- HIPAA
- Research
Quick Apply
Intake Billing Specialist
violet health: Infusion Care —Sylvan Lake, MI
- $22 - $35 an hour
- Full-time
- Google Workspace
- HIPAA
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
3d
Front Office Billing Assistant
The Center for Therapeutic Learning and Communication, PLLC —Chesterfield, MI
- $18 - $22 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
- Disability insurance
- Health insurance
Quick Apply
3d
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Detroit, MI
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Clinical Liaison
DMC Rehabilitation Institute of Michigan —Detroit, MI
- Weekends as needed
- Acute care
- Nursing
- RN License
- Health savings account
- Health insurance
9d
Physical Therapy Front Office
Concentra —Fraser, MI
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Commuter assistance
- Disability insurance
14d

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Central Authorization Specialist

Henry Ford Health -
Troy, MI

Apply Now

Job Details

3 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Medical insurance coverage verification
Medical coding
Data management
Data verification
Computer skills
Medical terminology

Full Job Description

The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the underlying objective of managing the cost of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in order to meet demands and support resources procuring authorizations. Under general supervision and in accordance with established policies and procedures the specific functions within this role include: Subject matter expertise of precertification and payor authorization processes. Ensure successful authorizations are procured by ordering physician offices through validation of work effort and education of procuring staff. Ensure feedback relevant to successful authorization procurement is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and authorization procurement staff to promote continuous improvement. Application of process improvement methodologies. The responsibilities includes acting as a centralized resource for assigned specialty across all sites of practice to ensure standardized and consistent procurement of authorizations.

EDUCATION/EXPERIENCE REQUIRED: High School or 3 - 5 years related experience and/or training; or equivalent combination of education and experience, required. Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate setting; must be highly computer literate, required. Two years of experience related to healthcare insurance verification and/or billing required. Approximately two to three years progressively more responsible related work experience necessary in order to gain in-depth understanding or organizational policies, procedures and operations, in order to assume a variety of high-level administrative details. Coding knowledge. Knowledge of clinical terminology. Understanding of patient treatment plans for purposes of obtaining authorizations. Ability to interpret RN or Physician notes in order to facilitate obtaining authorizations. Ability to evaluate & communicate to RN/Physician staff additional requirements or roadblocks. Additional coursework in business, computers or health care administration, preferred. Experience in a medical or surgical specialty clinic, preferred. Ability to interpret insurance records and related documentation. Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred. General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement, preferred. Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families if required. Strong oral and written communication skills required. Strong analytical and data management. Ability to work with all levels of management. Strong interpersonal communication and negotiation skills and experience interacting with clinicians and finance personnel.

Additional Information

Organization: Corporate Services
Department: CBO Central Authorization Unit
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Apply Now

Refine Your Search

authorization and denials jobs in clinton township mi

Central Authorization Specialist

Authorization and Denials Coordinator

Insurance Verification & Billing Specialist

Denials Management Specialist

Billing and Benefits Coordinator

CentralAuthorizationSpecialist

Insurance Accounts Receivable Specialist

Epic Denials Management Operator

Manager - Transplant Service Revenue Mgmt. (Detroit, MI)

Epic Denials Management Coordinator

Utilization Review Supervisor (PCN 1547)

Executive Assistant

Registration Supervisor

Insurance verification/ Prior Auth specialist

Accounts Receivable/Cash Posting Analyst

Intake Billing Specialist

Front Office Billing Assistant

Epic Resolute Hospital Billing Associate Analyst

Clinical Liaison

Physical Therapy Front Office

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