Authorization Specialist

Welcome to the Latest Job Vacancies Site 2025 and at this time we would like to inform you of the Latest Job Vacancies from the Methodist Le Bonheur Healthcare with the position of Authorization Specialist which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Authorization Specialist below matches your qualifications.

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.

Responsible for precertification of eligible medical services and procedures for inpatient, diagnostic, and outpatient services. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible medical services and procedures for inpatient, diagnostic, and outpatient services. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do

• Responsible for precertification of eligible medical services and procedures for inpatient, diagnostic, and outpatient services based on medical plan documents and medical necessity. Manages pre-certifications for more complex surgical and invasive procedures that require strong clinical knowledge.
• Coordinates all documentation required for precertification of services.
• Establishes a good working relationship with physicians, physician office staff, patients, and other members of the healthcare team.

Education/Formal Training Requirements

• High School Diploma or Equivalent

Work Experience Requirements

• 5-7 years Insurance verifications or authorizations

Licenses and Certifications Requirements

• Preferred: Licensed Practical Nurse - Arkansas - Arkansas State Board of Nursing
• Preferred: Licensed Practical Nurse - Mississippi - Mississippi Board of Nursing
• Preferred: Licensed Practical Nurse - Tennessee - Tennessee Board of Nursing

Knowledge, Skills and Abilities

• Knowledge and experience in coverage practices, terminology, and requirements for referrals and authorization/pre-certification used by third party payers, Medicare, and secondary payer rules.
• Knowledge of CPT, HCPCS, and ICD-10 codes preferred.
• Demonstrated analytical ability to collect and interpret insurance and contract information.
• Experience dealing with PPO and Managed Care insurance.
• Strong attention to detail and critical thinking skills.
• Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software.
• Excellent verbal and written communication skills.

Supervision Provided by this Position

• There are no lead or supervisory responsibilities assigned to this position.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Authorization Specialist job info - Methodist Le Bonheur Healthcare Memphis, TN   (Midtown area) above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Authorization Specialist job info - Methodist Le Bonheur Healthcare Memphis, TN   (Midtown area) in 2025-05-30 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via form this bottom.