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Patient Authorization Specialist

2 months ago


Lubbock, Texas, United States Providence Health & Service Full time
Job Overview

The core responsibility of this role is to manage incoming calls from healthcare providers, both within and outside the clinic, to ensure the efficient processing of patients needing pre-certifications, referrals, RQI numbers, or any form of authorization from insurance entities. Key duties include communicating with medical staff from various practices via telephone to collect necessary patient details. This position reports to the Referral and Scheduling Supervisor or Clinic Supervisor/Manager.

Why Work with Providence?

At Providence, we recognize that our caregivers are invaluable. We foster a culture of patient-centered, holistic care built on understanding, commitment, and mutual respect. Your contributions are significant here, as we believe that empowering our team is essential to retaining the best talent.

Essential Qualifications:
  • Minimum of 1 year of experience in a medical office setting.
  • At least 2 years of experience in customer service.
  • Proficiency in Microsoft-based systems.
Desirable Qualifications:
  • 2 years of experience in a medical office with responsibilities related to scheduling, handling phone inquiries, prior pre-certification/pre-authorization, and familiarity with electronic medical record systems.
Benefits of Joining Providence

We offer a comprehensive benefits package designed to support your well-being, professional growth, and financial stability. Our commitment is to care for you, allowing you to focus on our mission of serving everyone, particularly the most vulnerable in our communities.

About Providence

At Providence, our strength is rooted in our promise: "Know me, care for me, ease my way." Working within our organization means that regardless of your role, we will support you in your career journey, enabling you to support others effectively. We provide competitive benefits and promote an inclusive workplace where diversity is celebrated, and every individual is valued, heard, and respected. Together, our extensive team serves in numerous healthcare facilities and offers a wide range of health and social services across multiple states.

Commitment to Diversity

Providence is proud to be an Equal Opportunity Employer. We are dedicated to ensuring that every member of our workforce has the right to work in an environment free from discrimination and harassment based on various factors, including race, color, gender, disability, veteran status, religion, age, and more. We believe that diversity strengthens our organization, and we are committed to creating an inclusive workforce that provides equal opportunities for advancement.