AHS Sherman Medical Center

AHS • Sherman, TX

11d

About The Position

The Authorization Specialist verifies that inpatient and observation authorizations have been requested and follows up with Case Management to ensure appropriate documentation is sent to insurance companies. The role reviews outpatient surgery, outpatient testing, and inpatient surgery schedules to verify benefits and confirm authorizations are complete. The specialist serves as the main contact for referring physicians regarding authorization requests and works closely with registration, surgery scheduling, imaging scheduling, case management, and business office staff to address authorization issues.

Requirements

• Insurance verification experience required.
• Knowledge of insurance requirements for authorizations.
• Knowledge of medical terminology.
• Effective written and verbal communication skills.
• Ability to multitask and prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer service experience required.
• High school graduate or GED equivalent required.

Nice To Haves

• At least 2 years of authorization experience in a hospital setting preferred.

Responsibilities

• Verify that inpatient and observation authorizations have been requested.
• Follow up with Case Management regarding appropriate documentation sent to insurance companies.
• Review outpatient surgery, outpatient testing, and inpatient surgery schedules to verify benefits and authorization completion.
• Serve as the main contact for referring physicians regarding insurance authorization requests.
• Work with registration, surgery scheduling, imaging scheduling, case management, and business office staff on authorization issues.

What This Job Offers

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