Under close supervision, the Authorization Specialist I is responsible for gathering and maintaining patient demographic and financial information when necessary; reviews outstanding pre-certification requests and ensures authorization is obtained and documented accurately and timely; collaborates with physicians and provider office staff in ascertaining the appropriate authorization based on medical necessity and the treatment plan provided; verifies and obtains additional clinical information and insurance authorizations/referrals; communicates directly or indirectly with insurance companies to obtain insurance verification and pre-certification for approval. The Authorization Specialist I is expected to meet Key Performance Indicators (KPI), quality metrics, and to uphold a culture of continuous improvement
Saint Louis University(SLU) is a private, co-educational Jesuit university located in St. Louis, Missouri, United States. Founded in 1818 by the Most Reverend Louis Guillaume Valentin Dubourg SLU is the oldest university west of the Mississippi River. The University has campuses in St. Louis, Mo. and Madrid, Spain. SLU values academic excellence, life-changing research, compassionate health care, and a strong commitment to faith and service. For nearly 200 years, the University has gone beyond teaching facts and figures, encouraging students to form ideas and identities. Today, SLU students are nearly 14,000 strong. The University has invested vast resources to advance academic programs and enhance the student experience. SLU also is a major research institution where premier researchers tackle local and global challenges. And the University's commitment to community service has earned it national acclaim and bolstered its status as a character-building college.