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Authorizations Manager Jobs in Michigan (NOW HIRING)

Saintfrancis

Authorization Specialist I

Yale, MI · On-site

$16 - $21.25/hr

Accurately monitors, reviews and processes authorizations and validates the requests are accurate ... manager, and others as appropriate to obtain additional information or provide information on ...

DSP Constructors

Superintendent

Novi, MI · On-site

Coordinate with DSP Project Managers the recruitment of new hires as needed * Coordinate additional work pricing, internal authorization, and initiation * Monitor, communicate, enforcement equipment ...

DSP Constructors

Superintendent

Novi, MI · On-site

Coordinate with DSP Project Managers the recruitment of new hires as needed * Coordinate additional work pricing, internal authorization, and initiation * Monitor, communicate, enforcement equipment ...

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All JobsAuthorizations JobsAuthorizations Manager JobsAuthorizations Manager Jobs in Michigan

Authorizations Manager information

What is the difference between Authorizations Manager vs Insurance Coordinator?

AspectAuthorizations ManagerInsurance Coordinator
CredentialsTypically requires healthcare administration or related certificationsOften requires insurance or healthcare administration certifications
Work EnvironmentManages authorization processes in healthcare settings, overseeing teamsHandles insurance documentation and patient authorizations at clinics or hospitals
Employer & IndustryHospitals, healthcare providers, insurance companiesMedical offices, clinics, healthcare facilities
Search & ComparisonOften compared for roles managing healthcare authorizations and approvalsCompared for roles handling insurance paperwork and patient authorizations

The main difference is that an Authorizations Manager oversees the entire authorization process, managing teams and policies, while an Insurance Coordinator handles the day-to-day insurance documentation and patient authorizations. Both roles require healthcare or insurance certifications and work within healthcare environments, but their responsibilities and scope differ.

What is an authorizations manager?

An Authorizations Manager is responsible for overseeing and managing the approval process for various transactions, services, or procedures within an organization, often in fields like healthcare, finance, or insurance. They ensure that requests meet policy guidelines, compliance standards, and organizational protocols before granting approval. The role involves coordinating with internal teams and external parties, reviewing documentation, and maintaining accurate records. Authorizations Managers play a key role in minimizing risk and ensuring efficient operations related to authorization processes.

What are the key skills and qualifications needed to thrive as an authorizations manager, and why are they important?

To thrive as an Authorizations Manager, you need expertise in regulatory compliance, insurance policies, and healthcare administration, typically supported by a bachelor's degree in business, healthcare, or a related field. Familiarity with prior authorization software, electronic health record (EHR) systems, and payer portals is essential. Strong organizational skills, attention to detail, and effective communication are vital soft skills for managing workflows and collaborating with teams. These competencies are crucial for ensuring timely and accurate authorization processes, reducing claim denials, and optimizing patient care and organizational efficiency.

How does an authorizations manager typically collaborate with other departments to ensure timely approvals?

An Authorizations Manager works closely with various departments such as compliance, operations, and customer service to coordinate and expedite approval processes. They often serve as a liaison, addressing documentation gaps and clarifying requirements to minimize delays. Regular meetings and clear communication channels are essential, as the manager must balance regulatory standards with operational efficiency. This collaborative approach helps prevent bottlenecks and ensures that authorization requests are processed accurately and on schedule.
What are the most commonly searched types of Authorizations jobs in Michigan? The most popular types of Authorizations jobs in Michigan are:
What are popular job titles related to Authorizations Manager jobs in Michigan? For Authorizations Manager jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Authorizations Manager jobs in Michigan look for? The top searched job categories for Authorizations Manager jobs in Michigan are:
What cities in Michigan are hiring for Authorizations Manager jobs? Cities in Michigan with the most Authorizations Manager job openings:
Authorizations Manager jobs near you

Authorization Specialist I

Saintfrancis

Yale, MI • On-site

$16 - $21.25/hr

Part-time

Posted 13 days ago

Job description

Current Saint Francis Employees - Please click HERE to login and apply.

This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings.Days

Schedule:

Weekend day shift/ flexible hours.

Job Summary: The Authorization Specialist I directly impacts the billing and collections functions of the revenue cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well as inpatient admissions. Timely facilitation of insurance approval contributes to the accuracy of patient estimates and pre-service collections, patient ease of access to care and serves to prevent denials of claims submitted for payment. Authorization Specialists do not have leadership responsibilities, but are expected to perform duties with a high degree of independence, meeting productivity and quality metrics consistently.
Minimum Education: High School Diploma or GED.
Licensure, Registration and/or Certification: None.
Work Experience: 1 - 2 years relevant experience. 1 year of benefits verification or authorization experience or 2 years of pre-registration experience. Post-secondary education may be substituted for 1 year of experience.
Knowledge, Skills and Abilities: Basic healthcare and insurance terminology. Basic computer knowledge and skills. Proficient with office machines, including fax, copier and scanner. Ability to navigate insurance websites to access patient, eligibility and payment information. Good communication skills - written and verbal. Phone-based contact center skills involving multiple-line phone systems. Employee must possess the ability to organize and prioritize work; must be detail oriented. Understanding of a professional business environment. Basic knowledge of medical billing and insurance follow-up activity.
Essential Functions and Responsibilities: Monitors patient and/or referrals and/or denials work queues to determine encounters that require pre-registration, verification, authorization, or corrections to ensure proper billing. Works encounters according to assignment and consistently meets daily and weekly productivity goals. Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. Reviews clinical documentation for CPT/diagnosis code information to support authorization/precertification according to payer guidelines. Accurately monitors, reviews and processes authorizations and validates the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. Coordinates as needed with other departments/ancillary areas for special needs or resources. Counsels clinical partners and/or patients to facilitate additional information when required by payer. Coordinates with patient, referring physician's office and/or referring location, scheduled service area, financial counselors, case manager, and others as appropriate to obtain additional information or provide information on patients' financial status. Documents pertinent information and efforts in computer system based upon department documentation standards. Protects the privacy and security of patient health information to ensure that confidentiality is maintained.
Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.
Working Relationship: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Pre-Arrival - Yale Campus

Location:

Tulsa, Oklahoma 74136

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