<p><strong>Hospital Authorization Specialist</strong><br><em>Cardiac Study Center, Tacoma WA (Remote)</em></p> <p><strong>Who We Are</strong></p><p>At Cardiac Study Center, our mission is to elevate patient health through compassionate, innovative cardiology care.</p> <p>We're a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we are looking for passionate individuals to join us in making a real impact on our patients' heart health and well-being. Here, you’ll have the opportunity to collaborate with top professionals, advance in your career, and make a meaningful difference every day.</p> <p><strong><br></strong></p> <p><strong>Why should you work with us?</strong></p> <ul><li><strong>Cutting-edge processes</strong>: Join a team that uses advanced systems to streamline pre-authorizations and approvals, ensuring patients receive timely care while optimizing operational workflows.</li><li><strong>Professional growth and development</strong>: At Cardiac Study Center, we foster continuous learning and encourage team members to develop skills that advance their careers in healthcare administration.</li><li><strong>Collaborative culture</strong>: Work closely with providers, schedulers, and insurance companies in a team-oriented environment where every role plays a part in delivering exceptional patient care.</li><li><strong>Make an impact</strong>: As a Hospital Authorization Specialist, your work ensures that patients' hospital procedures are appropriately authorized and efficiently coordinated, making a meaningful difference in their healthcare experience.</li></ul> <p><strong><br></strong></p> <p><strong>The Position</strong><br>The Hospital Authorization Specialist is a vital role ensuring the seamless authorization of hospital procedures for our patients. This role involves coordinating with providers, insurance companies, and hospital staff to secure necessary pre-authorizations, address denials, and maintain accurate records.</p> <p><strong>Your Day-to-Day Work</strong></p> <ul><li>Review and manage daily hospital procedure schedules to identify pre-authorization needs.</li><li>Obtain authorizations from insurance companies using phone, fax, and online portals.</li><li>Verify that CPT and ICD-10 codes align with scheduled procedures and insurance requirements.</li><li>Collaborate with providers to handle peer-to-peer requests and appeal denied authorizations.</li><li>Communicate with patients about procedure approvals, reschedules, or cancellations.</li><li>Read medical charts to ensure procedures align with providers’ plans.</li><li>Work closely with hospital pre-service teams to confirm all authorizations are accurate and complete.</li><li>Maintain up-to-date knowledge of insurance guidelines and ensure compliance with all HIPAA regulations.</li></ul> <p><strong><br></strong></p> <p><strong>Environment and Shift Details</strong><br>This is a full-time, remote position, operating Monday through Friday. The role requires extensive computer work, phone communication, and occasional handling of lightweight materials.</p> <p><strong><br></strong></p> <p><strong>Experience & Qualifications</strong></p> <p><strong>Must-Haves</strong></p> <ul><li>High School Diploma or GED.</li><li>1-3 years of experience in medical authorization, healthcare administration, or a related field.</li><li>Strong understanding of medical terminology and insurance guidelines.</li><li>Excellent attention to detail and organizational skills.</li></ul> <p><strong>Nice-to-Haves</strong></p> <ul><li>Familiarity with ICD-10 and CPT coding.</li><li>Prior experience with pre-authorizations or appeals processes.</li><li>Experience using healthcare systems like EPIC or other EMR platforms.</li></ul> <p><strong><br></strong></p> <p><strong>Pay and Benefit Expectations</strong></p> <p>While you’re focused on ensuring seamless authorization processes for our patients, we are focused on taking care of you with benefits such as:</p> <ul><li>Comprehensive health insurance (with zero-cost premiums).</li><li>Dental & vision plans.</li><li>FSA/HSA options.</li><li>Retirement matching.</li><li>Paid vacation & floating holidays.</li><li>Mental health support, and more!</li></ul> <p>The pay scale for this position is $20.70 - $37.55, influenced by your experience, skill set, and education.</p> <p><em>Join our team and help ensure patients receive the timely care they deserve!</em></p>