Hospital Authorization Specialist [Remote]

Hospital Authorization Specialist
Cardiac Study Center, Tacoma WA (Remote)

Who We Are

At Cardiac Study Center, our mission is to elevate patient health through compassionate, innovative cardiology care.

We're a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we are looking for passionate individuals to join us in making a real impact on our patients' heart health and well-being. Here, you'll have the opportunity to collaborate with top professionals, advance in your career, and make a meaningful difference every day.

Why should you work with us?

• Cutting-edge processes : Join a team that uses advanced systems to streamline pre-authorizations and approvals, ensuring patients receive timely care while optimizing operational workflows.
• Professional growth and development : At Cardiac Study Center, we foster continuous learning and encourage team members to develop skills that advance their careers in healthcare administration.
• Collaborative culture : Work closely with providers, schedulers, and insurance companies in a team-oriented environment where every role plays a part in delivering exceptional patient care.
• Make an impact : As a Hospital Authorization Specialist, your work ensures that patients' hospital procedures are appropriately authorized and efficiently coordinated, making a meaningful difference in their healthcare experience.

The Position
The Hospital Authorization Specialist is a vital role ensuring the seamless authorization of hospital procedures for our patients. This role involves coordinating with providers, insurance companies, and hospital staff to secure necessary pre-authorizations, address denials, and maintain accurate records.

Your Day-to-Day Work

• Review and manage daily hospital procedure schedules to identify pre-authorization needs.
• Obtain authorizations from insurance companies using phone, fax, and online portals.
• Verify that CPT and ICD-10 codes align with scheduled procedures and insurance requirements.
• Collaborate with providers to handle peer-to-peer requests and appeal denied authorizations.
• Communicate with patients about procedure approvals, reschedules, or cancellations.
• Read medical charts to ensure procedures align with providers' plans.
• Work closely with hospital pre-service teams to confirm all authorizations are accurate and complete.
• Maintain up-to-date knowledge of insurance guidelines and ensure compliance with all HIPAA regulations.

Environment and Shift Details
This is a full-time, remote position, operating Monday through Friday. The role requires extensive computer work, phone communication, and occasional handling of lightweight materials.

Experience & Qualifications

Must-Haves

• High School Diploma or GED.
• 1-3 years of experience in medical authorization, healthcare administration, or a related field.
• Strong understanding of medical terminology and insurance guidelines.
• Excellent attention to detail and organizational skills.

Nice-to-Haves

• Familiarity with ICD-10 and CPT coding.
• Prior experience with pre-authorizations or appeals processes.
• Experience using healthcare systems like EPIC or other EMR platforms.

Pay and Benefit Expectations

While you're focused on ensuring seamless authorization processes for our patients, we are focused on taking care of you with benefits such as:

• Comprehensive health insurance (with zero-cost premiums).
• Dental & vision plans.
• FSA/HSA options.
• Retirement matching.
• Paid vacation & floating holidays.
• Mental health support, and more!

The pay scale for this position is $22.08- $35.88, influenced by your experience, skill set, and education.

Join our team and help ensure patients receive the timely care they deserve!