Authorization Specialist (Full-time/Cody)

Sign In Create Profile English (US) Authorization Specialist (Full-time/Cody) CODY, WY, United States | req11573 Posted on: 3/24/2026 You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosp, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, collegemunity in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference . About Us Billings Clinic is amunity-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integratedanization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (ouranization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide aprehensive andpetitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and . for more information or download the Employee Benefits Guide.

Magnet:

Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designatedanization, joining only 97 otheranizations worldwide that have achieved this honor four times. The re-designation process happens every four years. to learn more! Pre-Employment Requirements All new employees mustplete several pre-employment requirements prior to starting. to learn more! Authorization Specialist (Full-time/Cody)

CODY CLINIC - 6760

(BILLINGS

CLINIC CODY CLINIC

) req11573

Shift:

Day

Employment Status:

Full-Time (.75 or greater) Hours per

Pay Period:

0.75 = 60 hours every two weeks (Non-Exempt)

Starting Wage DOE:

$17.15 - 21.44 Responsible for performing the authorization functions with insurance carriers. Coordinate with/educate physicians, nursing staff and other health care providers on the authorization process and requirements. Works as a patient advocate and functions as a liaison between the patient, staff and payer to answer reimbursement questions and avoid insurance delays. Tracks, documents, and monitors authorizations. Implements check and balance systems to ensure timelypliance. Essential Job Functions

• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatoryanizational and departmental requirements. Maintainspetency in allanizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Coordinates authorization process ensuring authorization has been obtained. Identifies and initiates precertification/authorization requirements for individual payers andmunicates with payer sources in a timely manner to obtain necessary pre-certification/authorization.
• Documents and maintains patient specific precertification/authorization data within the required information systems. Documents and tracks authorizations using established process.
• s denials and/or delays in the precertification/authorization process to physicians/other health care providers and/or the patient.
• Develops and maintains collaborative working relationships with payers and health care team.
• s nonpliance issues to department specific leadership team.
• Works with Medical Staff Office validating provider enrollment and NPI numbers.
• Tracks and verifies that precertification/authorization has been received either verbally or written.
• Communicates status to health care team and patient as needed. Reviews schedules and work lists multiple times throughout the day.
• Makes referrals as needed to ensure patient's needs are met and precertification/authorization is obtained.
• s denials and/or delays in the authorization process to the health care team and/or the patient. Provides information to the patient on the appropriate appeal process for denials as needed.
• Responsible for authorization of pre-scheduled elective inpatient and/or outpatient procedures, diagnostic testing and/or planned medical admissions.
• Reviews CPT-4 codes against Medicare and other payer specific inpatient only lists, if applicable, to assigned departments. Maintains updated list. Ensures correct patient status when pre-certifying. Validates CPT and diagnosis codes match documented physician treatment plan.
• Reviews CPT-4 codes against Medicaid listings of required precertification and/or authorizations. Ensures Passport pre-certification process is met.
• Participates in interdepartmental meetings to coordinate efforts, work through processes, and fostermunication.
• Responsible for precertification for Billings Clinic campus and regional outreach services
• Reviews daily hospital work list to determine if patient's payer requires authorization/ notification.
• Understands insurance/payer policy language, benefits and authorization requirements upon admission, for concurrent review, and for discharge.
• Conducts concurrent authorization with third party payers during the patient's stay.
• Conducts follow-up calls, as necessary, to third party payers toplete authorization process validating that all days are authorized.
• Performs all other duties as assigned or as needed to meet the needs of the departmentanization. Minimum Qualifications Education
• High school graduate or GED equivalent Experience
• One (1) year of medical insurance claims experience through patient accounts billing or claims adjudication Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas.

A not-for-profitanization led by a physician CEO, the health system is governed by a board ofmunity members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. /aboutus Billings Clinic ismitted to being an inclusive and weing employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any amodations during the recruitment process. Billings Clinic Human Resources, PO Box 37000, Billings, MT 59107-7000

Street Address:

Billings Clinic, 801 North 29th St., Billings, MT 59101

E-mail:

careersbillingsclinic Human Resources is located on the corner of North 29th and 8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.