Top 61 Authorization specialist Jobs in Royal Oak Mi

Central Authorization Specialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
Prior Authorization Specialist
Silver Pine Medical Group —Sterling Heights, MI
- $18.50 - $26.00 an hour
- Part-time
- Customer service
- High school diploma or GED
- Patient care
Medication Access Specialist - Cardiology Clinic
CAVA - Cardiology & Vascular Associates —Bloomfield Hills, MI
- $17 - $20 an hour
- Full-time
- Background check
- Nursing
- Customer service
- Health insurance
- Dental insurance
Quick Apply
3d
Front Office Specialist
HealthQuest Physical Therapy —Novi, MI
- $14 - $18 an hour
- Part-time
- High school diploma or GED
- Clinic
- Data entry
- Health savings account
- Health insurance
Medical Billing Specialist
Compassionate Arms, INC. —Sterling Heights, MI
- $22 - $25 an hour
- Part-time
- Background check
- Spanish
- HIPAA
- Opportunities for advancement
- Flexible schedule
Quick Apply
Front Office Specialist
HealthQuest Physical Therapy —Oxford, MI
- $14 - $18 an hour
- Full-time
- High school diploma or GED
- Clinic
- Communication skills
- Health savings account
- Health insurance
CentralAuthorizationSpecialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
8d
Authorization and Insurance Specialist
Centria Healthcare —Farmington Hills, MI
- $17 - $20 an hour
- Monday to Friday
- Remote
- Google Workspace
- Computer literacy
- Writing skills
Quick Apply
Insurance Specialist I
Proctor Loan Protector —Troy, MI
- 8 hour shift
- Research
- Office
- Microsoft Office
- Employee stock purchase plan
- Paid holidays
Pharmacy Benefits Specialist - Specialty - Full Time Days - Rochester Hills
Henry Ford Health —Rochester Hills, MI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Home Health
- Health insurance
- Dental insurance
Executive Assistant, Human Resources
Wayne State University —Detroit, MI
- $65,000 - $80,000 a year
- Weekends as needed
- Background check
- 5 years
- Office
Surgical Scheduler
Guest Malach Eye Specialists —Saint Clair Shores, MI
- Up to $25 an hour
- Full-time
- Background check
- Private practice
- Surgery
- Paid training
- Paid holidays
Quick Apply
Client Onboarding Specialist
SpotOn —Royal Oak, MI
- $46,550 - $67,100 a year
- Full-time
- Hybrid work
- Analysis skills
- Bachelor's degree
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply
Authorization Specialist
Plymouth Physical Therapy Specialists —Plymouth, MI
- Full-time
- Medical office experience
- Physical & Rehabilitation Medicine
- Mid-level
- On-the-job training
Quick Apply
4d
Bed Placement Specialist
Trinity Health Michigan —Pontiac, MI
- Part-time
- Anatomy knowledge
- Hospital
- Customer service
Client Onboarding Manager
SpotOn —Royal Oak, MI
- $77,900 - $100,000 a year
- Full-time
- Hybrid work
- Spanish
- English
- 3 years
- Commuter assistance
- Paid parental leave
Quick Apply
CSS Phone Specialist
Midland Credit Management —Troy, MI
- Full-time
- Mid-level
- Microsoft Office
- High school diploma or GED
- Paid training
- Paid holidays
9d
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
Surgical Scheduler
Michigan Orthopaedic Surgeons PLLC —Bingham Farms, MI
- Microsoft Outlook
- Surgery
- OSHA
Quick Apply
4d
Assistant - Office Operations - Neurology Clinic - Full Time
Henry Ford Health —Chesterfield, MI
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Health insurance
- Dental insurance

I want to receive the latest job alert for authorization specialist in royal oak mi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization specialist jobs near royal oak mi

Benefit Specialist jobs in Rochester Hills, MI

Insurance Specialist jobs in Troy, MI

Medical Biller jobs in Sterling Heights, MI

Mobile Phone Technician jobs in Troy, MI

Human Resources Assistant jobs in Detroit, MI

Front Office Specialist jobs in Phoenix, AZ

Front Office Specialist jobs in Dillon, SC

Front Desk Casino jobs in Las Vegas, NV

Front Desk Receptionist No Experience jobs in San Francisco, CA

Coroner Office jobs in Georgia

Front Office Specialist jobs in Riverside, CA

Remote Medical Billing Specialist jobs in Louisiana

Front Office Specialist jobs in Springdale, OH

Neurologist jobs in Tampa, FL

Veterinary Neurologist jobs in Phoenix, AZ

Neurologist jobs in Dallas Fort Worth, TX

Neurologist jobs in Slidell, LA

Vascular Neurologist jobs in Texas

Front Office Specialist jobs in Tappahannock, VA

Hotel Front Desk jobs in Los Angeles, CA

Central Authorization Specialist

Henry Ford Health -
Troy, MI

Apply Now

Job Details

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Computer operation
Medical insurance coverage verification
Medical coding
Clinic experience
Administrative experience
Pre-authorization review for utilization management
Data management
Computer skills
Medical terminology
Negotiation

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 diploma or 3–5 years of related experience/training (or equivalent combination of education and experience) required
3–5 years of experience in a medical clinic, hospital, or corporate training setting required
Highly computer literate required
2 years of healthcare insurance verification and/or billing experience required
2–3 years of progressively responsible experience with organizational policies, procedures, operations, and high-level administrative responsibilities
Knowledge of:
- Medical coding
- Clinical terminology
- Patient treatment plans for authorization purposes
- Revenue cycle processes including billing, coding, charge capture, and reimbursement preferred
- Hospital operations, utilization management, case management, and managed care reimbursement preferred
Ability to:
- Interpret RN/physician notes to obtain authorizations
- Identify and communicate authorization requirements or roadblocks to clinical staff
- Interpret insurance records and related documentation
- Work independently and exercise sound judgment with physicians, payors, patients, and families
- Prioritize multiple tasks and responsibilities
- Work effectively with all levels of management
Additional coursework in business, computers, or healthcare administration preferred
Experience in a medical or surgical specialty clinic preferred
Strong:
- Organizational and time management skills
- Oral and written communication skills
- Analytical and data management skills
- Interpersonal communication and negotiation skills
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 specialist jobs in royal oak mi

Central Authorization Specialist

Prior Authorization Specialist

Medication Access Specialist - Cardiology Clinic

Front Office Specialist

Medical Billing Specialist

Front Office Specialist

CentralAuthorizationSpecialist

Authorization and Insurance Specialist

Insurance Specialist I

Pharmacy Benefits Specialist - Specialty - Full Time Days - Rochester Hills

Executive Assistant, Human Resources

Surgical Scheduler

Client Onboarding Specialist

Authorization Specialist

Bed Placement Specialist

Client Onboarding Manager

CSS Phone Specialist

Insurance verification/ Prior Auth specialist

Surgical Scheduler

Assistant - Office Operations - Neurology Clinic - Full Time

I want to receive the latest job alert for authorization specialist in royal oak mi

Explore jobs in more locations

Additional Details

Overview

Benefits

Equal Employment Opportunity/Affirmative Action Employer

Job Seeker Tools

Employer Tools

Browse

Stay Connected