Your Future is Here
Saint Francis Healthcare System offers people a variety of career opportunities that are stimulating, challenging, and above all, rewarding. Known for providing its employees with competitive wages and outstanding benefits, Saint Francis also features a family-focused culture that cultivates a friendly, caring environment for Medical Center employees, physicians, volunteers, and patients.
As an equal opportunity employer, Saint Francis does not discriminate on the basis of sex, age, religion, creed, national origin, race, or handicap in its relations with patients, visitors, or employees. Please take time to review the Medical Center’s current job openings and submit an online application for a position for which you are qualified. |
Position Description |
The Authorization Specialist position is responsible for 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. This individual is responsible for benefit determination and documenting completely and accurately in accordance with healthcare system guidelines. This position 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. |
Position Requirements |
Degree/Diploma: High School Diploma |