Saint Francis Healthcare System · 1 day ago
System Authorization Specialist
Cape Girardeau, MO
Full-time
Hybrid
Entry Level
$15/hr - $15/hr
1+ years expSaint Francis Healthcare System is seeking a System Authorization Specialist who will be responsible for reviewing requests for prior authorization of medical services. The role involves benefit determination, documentation, and acting as a liaison to ensure smooth workflows for authorizations while adhering to healthcare system guidelines.
Health CareMedicalNon ProfitPrimary and Urgent CareWellness
Responsibilities
Reviewing requests for prior authorization of medical services including elective and outpatient surgeries and procedures, home health, out of network requests, and expedited requests for medical necessity in accordance with government, commercial, and workers compensation health plan coverage guidelines
Responsible for benefit determination and documenting completely and accurately in accordance with healthcare system guidelines
Works well independently solving problems and acts as liaison with others outside the department to create smooth workflows and transitions of information needed for authorizations
Promotes harmonious and efficient intra and inter departmental relationships and delivers quality customer service
Adheres to the Mission, Vision, Values and Philosophy of the departments and Saint Francis Healthcare System
Constantly works with and maintains restricted or confidential information from many sources within the healthcare system
Any and all duties as assigned by Manager and Director
Qualification
Required
High school graduate or equivalent required
One year of experience in a healthcare setting obtaining insurance authorizations strongly preferred
Experience with CPT and ICD codes is a plus
Benefits
Employee Assistance Program
Company
Saint Francis Healthcare System
Saint Francis Healthcare System is guided by our mission to provide a ministry of healing, wellness, quality and love inspired by our faith in Jesus Christ.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Justin Davison
Chief Executive Officer
Recent News
Memphis Business Journal
2025-01-29
Business Journals
2023-08-01
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