Authorization and Insurance Verification Coding Specialist - Requisition #194064

Oaklawn Hospital • Marshall, MI

107d

About The Position

The Authorization and Insurance Verification Coding Specialist is responsible for providing accurate and timely insurance verification of eligibility and authorization. This role includes auditing clinical documentation to validate coding accuracy both pre and post service. The specialist consistently uses an outward mindset and puts forth exemplary effort in accomplishing goals and objectives in a manner that helps others achieve their goals as well.

Requirements

• Must be at least 18 years of age.
• CCA or equivalent certification.
• Relevant clinical or medical experience related to healthcare insurance verification, authorization, and/or coding as determined by Oaklawn Administration.

Nice To Haves

• Knowledge of clinical and medical terminology.
• Familiarity with ICD-10 and CPT coding.
• Strong verbal communication and interpersonal skills.
• Organizational and customer service skills.
• Critical thinking and problem-solving abilities.
• Ability to handle conflict and adapt to frequent change.
• Ability to interpret insurance records and related documentation.
• Ability to work independently and accept direction on assignments.

Responsibilities

• Provides accurate and timely insurance verification and authorization for ancillary, surgical, inpatient, and physician services.
• Follows appropriate point of service collection and notification processes.
• Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the authorization process.
• Communicates with physicians, physician offices, and hospital staff to obtain clarifying documentation for correct coding validation.

What This Job Offers

• Industry: Hospitals