Authorization Specialist Lead

Job Summary and Responsibilities

As our Authorization Lead, you will help the Authorization Specialist team navigate complex authorization workflows and operational barriers so they can ensure timely financial clearance for imaging services.

Every day you will monitor work queue performance and provide daily workflow coordination. You will be expected to provide technical guidance, peer support, and real-time coaching to staff while collaborating with Imaging Leadership to maintain departmental standards for productivity and quality.

To be successful in this role, you will demonstrate mastery of Radiology Authorization Specialist responsibilities, including advanced knowledge of payer requirements, medical necessity guidelines, and cross-functional revenue cycle operations.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories. This position is work from home within California.

Job Requirements

Required: 

• High School Graduate or GED
• Three (3) years of experience in a billing and/or referrals office environment.

• Proficiency in health insurance eligibility and authorization requirements.

• Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third party payers

• Ability to problem solve; ability to analyze data and recommend changes.

• Must have strong customer service skills.

• Ability to work collaboratively with a culturally diverse staff and patient/family population.

• Ability to work independently with minimum supervision.

• Must have basic PC skills

• Medical Terminology - basic knowledge.

• Excellent Oral/Written Communication - Articulate and concise oral communication.

• Ability to write clearly and concisely.

Preferred:

• Plus two (2) years of relevant billing and/or referrals experience

Where You’ll Work

Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service. Dignity Health Medical Group – North State a service of Dignity Health Medical Foundation is a multi-specialty clinic with eleven locations in Redding and Red Bluff. Along with our local affiliated Dignity Health hospitals (Mercy Medical Center – Mt. Shasta Mercy Medical Center – Redding and St. Elizabeth Community Hospital) we offer an integrated care delivery system that provides high quality compassionate care in family medicine, internal medicine, OB/GYN, cardiology, neuro-interventional, general surgery, endovascular surgery, endocrinology, ENT, colorectal surgery, thoracic surgery and orthopedic surgery including general total joints and spine.

One Community. One Mission. One California