Top 53 Prior authorization specialist Jobs in Oklahoma

Authorization Specialist I
Warren Clinic, Inc. —Tulsa, OK
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
Quick Apply
2d
Pharma Support Services Specialist
Option Care Health —Oklahoma City, OK
- $21.83 - $36.36 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
10d
Insurance and Authorization Specialist - Clinic - Tulsa
Muscogee Creek Nation —Tulsa, OK
- Hospital
- HIPAA
- High school diploma or GED
Insurance Authorization & Scheduling Specialist - Clinic - Tulsa
Muscogee Creek Nation —Tulsa, OK
- Windows
- High school diploma or GED
- Clinic
Automotive Customer Support Specialist
Concentrix —Oklahoma
- $23 an hour
- Urgently hiring
- Hybrid work
- 18 years or older
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
Pharma Support Services Specialist
Option Care Enterprises, Inc. —Oklahoma City, OK
- $21.83 - $36.36 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
10d
Authorization and Scheduling Specialist - Clinic- Tulsa
Muscogee Creek Nation —Tulsa, OK
- Nursing
- Surgery
- BLS Certification
Patient Access Specialist
INTEGRIS Health —Oklahoma
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Clinical Support Specialist
VARIETY CARE INC —Oklahoma City, OK
- Bilingual
- Spanish
- HIPAA
Quick Apply
Customer Service - Pharmacy Technical Support Specialist 105-1073
CommunityCare —Tulsa, OK
- Overtime
- Background check
- Mid-level
- High school diploma or GED
Quick Apply
Behavioral Health - Intake Specialist 150-1010
CommunityCare —Tulsa, OK
- Full-time
- Background check
- High school diploma or GED
- Communication skills
Quick Apply
Behavioral Health - Intake Specialist 150-1005
CommunityCare —Tulsa, OK
- Full-time
- Background check
- High school diploma or GED
- Communication skills
Quick Apply
Front Office Specialist II
OKLAHOMA CANCER SPECIALISTS MANAGEMENT COMPA —Tulsa, OK
- Full-time
- Mid-level
- High school diploma or GED
- Front desk
- Paid holidays
- Health insurance
Quick Apply
Office Specialist (Data Entry)
Counseling & Recovery Services of Oklahoma —Tulsa, OK
- From $18 an hour
- Full-time
- Computer literacy
- Writing skills
- Basic math
Quick Apply
Patient Access Referral Specialist - Hospital - Tulsa
Muscogee Creek Nation —Tulsa, OK
- Hospital
- HIPAA
- High school diploma or GED
Patient Access Specialist Sr
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Billing Specialist
ON-SITE MEDICAL —Norman, OK
- $18 - $24 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
10d
Patient Access Specialist
Emerus —Del City, OK
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- 401(k) matching
Patient Access Specialist
INTEGRIS Health Community Hospital —Del City, OK
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- 401(k) matching
Associate Specialist, Patient Access
Ensemble RCM LLC —Claremore, OK
- $18.65 - $19.90 an hour
- Full-time
- Hospital
- Customer service
- Inpatient
- Tuition reimbursement
9d

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Authorization Specialist I

Warren Clinic, Inc. -
Tulsa, OK

Quick Apply

Job Details

Full-time
2 days ago

Qualifications

High school diploma or GED

Full Job Description

Current Saint Francis Employees - Please click HERE to login and apply.

Full Time

Job Summary: The Authorization Specialist I directly impacts the billing and collections functions of the revenue cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well as inpatient admissions. Timely facilitation of insurance approval contributes to the accuracy of patient estimates and pre-service collections, patient ease of access to care and serves to prevent denials of claims submitted for payment. Authorization Specialists do not have leadership responsibilities, but are expected to perform duties with a high degree of independence, meeting productivity and quality metrics consistently.

Minimum Education: High School Diploma or GED.

Licensure, Registration and/or Certification: None.

Work Experience: 1 - 2 years relevant experience. 1 year of benefits verification or authorization experience or 2 years of pre-registration experience. Post-secondary education may be substituted for 1 year of experience.

Knowledge, Skills and Abilities: Basic healthcare and insurance terminology. Basic computer knowledge and skills. Proficient with office machines, including fax, copier and scanner. Ability to navigate insurance websites to access patient, eligibility and payment information. Good communication skills - written and verbal. Phone-based contact center skills involving multiple-line phone systems. Employee must possess the ability to organize and prioritize work; must be detail oriented. Understanding of a professional business environment. Basic knowledge of medical billing and insurance follow-up activity.

Essential Functions and Responsibilities: Monitors patient and/or referrals and/or denials work queues to determine encounters that require pre-registration, verification, authorization, or corrections to ensure proper billing. Works encounters according to assignment and consistently meets daily and weekly productivity goals. Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. Reviews clinical documentation for CPT/diagnosis code information to support authorization/precertification according to payer guidelines. Accurately monitors, reviews and processes authorizations and validates the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. Coordinates as needed with other departments/ancillary areas for special needs or resources. Counsels clinical partners and/or patients to facilitate additional information when required by payer. Coordinates with patient, referring physician's office and/or referring location, scheduled service area, financial counselors, case manager, and others as appropriate to obtain additional information or provide information on patients' financial status. Documents pertinent information and efforts in computer system based upon department documentation standards. Protects the privacy and security of patient health information to ensure that confidentiality is maintained.

Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.

Working Relationship: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Orthopedics - TBJ Admin - Warren Clinic

Location:

Tulsa, Oklahoma 74146

EOE Protected Veterans/Disability

Quick Apply

Refine Your Search

prior authorization specialist jobs in oklahoma

Authorization Specialist I

Pharma Support Services Specialist

Insurance and Authorization Specialist - Clinic - Tulsa

Insurance Authorization & Scheduling Specialist - Clinic - Tulsa

Automotive Customer Support Specialist

Pharma Support Services Specialist

Authorization and Scheduling Specialist - Clinic- Tulsa

Patient Access Specialist

Clinical Support Specialist

Customer Service - Pharmacy Technical Support Specialist 105-1073

Behavioral Health - Intake Specialist 150-1010

Behavioral Health - Intake Specialist 150-1005

Front Office Specialist II

Office Specialist (Data Entry)

Patient Access Referral Specialist - Hospital - Tulsa

Patient Access Specialist Sr

Billing Specialist

Patient Access Specialist

Patient Access Specialist

Associate Specialist, Patient Access

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