MEDICAL AUTHORIZATION SPLST

Medical Authorization Specialist

Hours of Work : 8 am to 4 : 30 PM

Days Of Week : Monday Through Friday

Work Shift : Job Description :

Your Job : The Medical Authorization Specialist professional responsible for verification of medical coverage, along with notification, prior authorization, and / or pre-determination of healthcare benefits for proposed medical services, to ensure reimbursement for rendered care. This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans of Methodist Health System.

Your Job Requirements :

• High School Graduate or equivalent. Some college preferred
• 1 year of prior clinical and / or insurance experience.
• Knowledge of billing practices and clinic policies and procedures.
• Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies.
• Strong proficiency using Microsoft Office products.
• Strong oral and written communication skills.
• Detail oriented, logical, and methodological approach to problem solving.

Your Job Responsibilities :

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace :