Authorization Coordinator

HCA Healthcare • Dallas, TX

15h

About The Position

The Authorization Coordinator is responsible for timely and accurate prior authorization processes, including pre-certification, obtaining and certifying authorizations, and assisting with authorization appeals. The coordinator collaborates with the referral coordinator to ensure all approvals are obtained. The role supports appointment, testing, procedure, and claims-filing timelines and helps provide a patient-centered experience through clear communication and customer service.

The position is full time, Monday through Friday, on the day shift. It does not require nights, on-call work, weekends, or holidays. The coordinator also follows the organization’s Code of Conduct and Mission and Value Statements and performs other related duties as assigned.

Requirements

• High school diploma or GED equivalent.
• One year of related experience with medical insurance plans and/or Medicare benefits verification.

Nice To Haves

• One year of experience in a medical clinic, urgent care, or hospital care setting.
• Prior authorization experience.

Responsibilities

• Review and complete prior authorizations to support timely appointments, testing, procedures, and claims filing.
• Obtain the clinical information and insurance requirements needed to complete prior authorization requests.
• Follow applicable criteria for services requiring prior authorization and submit requests on time.
• Enter appropriate documentation in the standard billing system and applicable health information or subsidiary systems.
• Track prior authorization status through payor authorization portals.
• Review denied claims for clinical accuracy, correct errors, and resubmit claims.
• Communicate with insurance companies to pre-certify, authorize, or amend services.
• Collaborate with the referral coordinator to ensure required approvals are obtained.
• Provide patient-centered communications and excellent customer service.
• Recommend approaches, policies, and procedures to improve departmental efficiency and services.
• Identify problems and coordinate resolutions among appropriate parties.
• Use appropriate communication systems to facilitate communication with hospital partners.
• Research patient visit history for compliance with payor-specific payment-window rules; communicate patient payment responsibilities and guide patients through required steps.
• Practice and adhere to the Code of Conduct and Mission and Value Statements.
• Perform other related job functions as assigned.

Benefits

• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
• Wellbeing support, including free counseling and referral services.
• Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
• Employee Stock Purchase Plan and flexible spending accounts.
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Fertility and family-building benefits and adoption assistance.
• Life insurance and supplemental health protection plans.
• Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED