Central Authorization Specialist

Job Description

Central Authorization Specialist - Henry Ford Health

Job Title

Central Authorization Specialist

About the Department

Join our team at One Ford Place, the corporate headquarters of Henry Ford Health in Detroit's New Center. Our central authorization team plays a vital role in ensuring seamless insurance authorizations for procedures and post-operative care across all sites of practice. Located in a vibrant, walkable area with easy access to public transportation and local amenities, this role combines downtown energy with a convenient commute. Be part of a dedicated team focused on managing the cost of care and providing timely, accurate information to payors.

Role Overview

As a Central Authorization Specialist, you¿ll centrally facilitate the successful procurement of insurance authorizations for ordered procedures and post-operative care. You¿ll support a multi-disciplinary team by validating authorizations, providing continuous education, and driving process improvements. Your work ensures timely and accurate information for payors while managing the cost of care.

Why Henry Ford Health

At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible.

What You Will Do

• Validate obtained authorizations and educate procurement staff to ensure successful authorization processes.
• Distribute feedback from coding, billing, and denial management resources to improve authorization procurement.
• Apply process improvement methodologies to enhance day-to-day workflows and patient satisfaction.
• Act as a centralized resource for assigned specialties across all sites to standardize authorization procurement.
• Interpret RN or physician notes to facilitate authorization requirements and communicate roadblocks to clinical staff.

What We Offer

At Henry Ford Health, you¿ll find opportunities for career growth, collaboration with diverse teams, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare.

Join Our Team

Ready to make a difference? Apply now to join our dedicated team at Henry Ford Health!

Qualifications

Required Qualifications

• High School diploma or 3-5 years of related experience and/or training; equivalent combination of education and experience.
• Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate setting.
• Highly computer literate with 2 years of experience in healthcare insurance verification and/or billing.
• Coding knowledge and understanding of clinical terminology.
• Ability to interpret insurance records and related documentation.
• Strong oral and written communication, analytical, and interpersonal skills.

Preferred Qualifications

• Experience in a medical or surgical specialty clinic.
• Additional coursework in business, computers, or healthcare administration.