Medical Authorization Specialist

1 month ago


Elk City, Oklahoma, United States Great Plains Regional Medical Center Full time
Job SummaryAt Great Plains Regional Medical Center, we are seeking a highly skilled Referral/Authorization Clerk to join our team. The successful candidate will be responsible for calling insurance companies to obtain pre-certification and authorization for medical procedures, as well as communicating with patients to advise them of estimated payment requirements. Key Responsibilities
  • Obtain pre-certification and authorization from insurance companies for medical procedures
  • Communicate with patients to advise them of estimated payment requirements
  • Ensure accurate and timely completion of pre-certification and authorization tasks
  • Develop and maintain strong relationships with insurance companies and patients
Requirements
  • High school diploma or equivalent
  • Knowledge of medical terminology and familiarity with medical diagnostic procedures and healthcare billing and authorization
  • Previous experience in pre-certification/referral/authorization and working with insurance companies via phone or through websites
  • Excellent customer service skills and ability to work with speed and accuracy
Desirable Skills
  • Hospital registration or admitting experience
  • Knowledge of insurance authorization


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