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RN Authorization Specialist

2 months ago

Greenfield, United States Hancock Regional Hospital Full time
Job Summary

The Authorization Specialist plays a critical role in the Network Navigation department, serving as a resource for both the Authorization Advocate and the patient. This position is responsible for resolving complex pre-certification, authorization, and referral needs. The Authorization Specialist will work with physicians, physician offices, insurance companies, and the Authorization Advocates to answer patient questions and resolve patient issues.

Key Responsibilities
  • Resolve complex pre-certification, authorization, and referral needs
  • Work with physicians, physician offices, insurance companies, and Authorization Advocates to answer patient questions and resolve patient issues
  • Provide excellent customer service and communication skills
  • Maintain accurate and detailed documentation of patient information
  • Collaborate with other Specialists, Leads, and Advocates on process improvement projects
Requirements
  • RN license required
  • Successful completion of the CHAM (Certified Healthcare Access Manager) Certification course - NAHAM within 6 months of hire
  • Associate or bachelor's degree in nursing or a related field required
  • 2-3 years' experience with pre-cert, referrals, and authorization processes strongly preferred
About Us

Hancock Regional Hospital is an Indiana-based, full-service healthcare network serving Hancock County and the surrounding areas. Our health system includes Hancock Regional Hospital, Hancock Physician Network, and more than 20 other healthcare facilities.