Authorization Specialist Orthopedics & Spine

Authorization Specialist

We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

To be world-renowned for passionate patient care and outstanding clinical outcomes.

In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

Reviews, analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code and abstract health information. Works collaboratively with the medical staff and other clinical services staff. This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes.

Certified Coding Specialist, Accredited Record Technician (or eligible), Registered Record Administrator (or eligible) or Licensed Practical Nurse (LPN) with a minimum of 5 years' experience in an appropriate health care setting. Ideally, has a background in referrals, denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M coding conventions as applicable.

Participates in orientation and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

Knowledge of office equipment, PC/CRT skills. Close visual/concentration efforts required (due to potential to review records continuously). Excellent communication skills, both oral and written, as well as good interpersonal skills required. Ability to work with confidential material in a responsible manner. Customer service orientated. Strong communication skills with both colleagues and patients.

Exposure Class II No exposure to blood, body fluids, excretions or secretions. Office setting.

Light work: sitting, standing, walking, lifting, pulling, pushing, and carrying. Depending on specific performance criteria exposure to a CRT and repetitive motions (data entry).

All services, medical staff, employees, limited contact with patients and visitors, and various regulatory and professional agency staff on a limited basis.

Manager and Department Coordinator

Coordinator/Manager

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.