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Authorization Specialist

Regional West Medical Center

Authorization Cna SpecialistThe Authorization Cna Specialist plays a critical role in supporting patient care by securing timely and accurate prior authorizations for a variety of healthcare services. This position ensures all authorization requests are properly documented and compliant with established protocols within the electronic health record system.This role is ideal for a detail-oriented healthcare professional with experience in clinical or administrative coordination who is passionate about improving patient access to care.A day in the life of an Authorization Cna Specialist:As an Authorization Cna Specialist, you will begin your day reviewing authorization requests for surgeries, diagnostic imaging, cardiac procedures, pharmacy, durable medical equipment, Veterans Administration services, and outside referrals.Throughout the day, you will coordinate directly with healthcare providers, insurance companies, and patients to obtain approvals and resolve coverage issues. You will ensure that each request is complete, accurate, and properly documented in the electronic health record.You will monitor pending authorizations, follow up as needed to avoid delays in patient care, and assist with appeals or denials when necessary. Collaboration with clinical and administrative teams is essential to keep patient care moving forward efficiently.Qualifications:High school diploma or equivalent requiredCompletion of a Certified Nursing Assistant (CNA) program requiredValid CNA certification and current state registration requiredMinimum of 2 years of experience in a healthcare setting, preferably in care coordination or administrative supportStrong knowledge of insurance processes, including prior authorization requirementsProficiency with electronic health records (EHR) and standard office softwareExperience in a hospital or clinical environment with exposure to authorization workflows preferredFamiliarity with medical terminology and clinical proceduresStrong organizational and multitasking skills in a fast-paced environmentExcellent communication and interpersonal skills with a focus on patient advocacy and customer serviceWhy join us?Play a vital role in ensuring patients receive timely careWork in a collaborative, team-oriented healthcare environmentGain specialized experience in insurance authorization processesOpportunities for professional growth and developmentCompetitive compensation and benefits packageA conditional job offer is contingent upon successfully passing a pre-employment drug test and background checks. A Physical Capacity Profile may be required for some positions.

Vacancy posted 5 days ago
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