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Authorization specialist skills for your resume and career

Updated January 8, 2025
4 min read
Authorization specialist example skills
Below we've compiled a list of the most critical authorization specialist skills. We ranked the top skills for authorization specialists based on the percentage of resumes they appeared on. For example, 19.7% of authorization specialist resumes contained patients as a skill. Continue reading to find out what skills an authorization specialist needs to be successful in the workplace.

15 authorization specialist skills for your resume and career

1. Patients

Here's how authorization specialists use patients:
  • Coordinated closely with physicians, office staff and patients to ensure timely authorization of requested services/surgeries.
  • Obtained verification of insurance coverage and authorizations for clinical visits and surgical procedures for patients.

2. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how authorization specialists use customer service:
  • Delivered high-level customer service in a fast paced medical imaging facility with a high patient volume.
  • Resolved exceptionally difficult customer satisfaction issues as a member of the Customer Service Support Group.

3. Insurance Verification

Here's how authorization specialists use insurance verification:
  • Maintained accurate and up to date files that included insurance verification and patient demographics.
  • Review the insurance verification and complete the authorization process within established time frames.

4. Medical Terminology

Here's how authorization specialists use medical terminology:
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general office procedures including HIPAA regulations.
  • Obtained great knowledge with medical terminology.

5. Insurance Eligibility

Here's how authorization specialists use insurance eligibility:
  • Verify patient insurance eligibility and confirming whether authorization or referrals are required for radiology outpatient testing.
  • Verify health insurance eligibility coverage and provide estimates for inpatient and outpatient services.

6. Veterans

Here's how authorization specialists use veterans:
  • Assist Veterans by obtaining client information; assisting in medical appointments, determining eligibility, and maintaining database.
  • Conducted research to ensure accurate documentation of the Veterans clinical information.

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7. EMR

Here's how authorization specialists use emr:
  • Documented authorization in EMR system.
  • Provided training for all new staff members of EHR, EMR, & other computer programs used by the practice.

8. Insurance Coverage

Here's how authorization specialists use insurance coverage:
  • Completed patient financial responsibility by correct procedure code, item detail, price and explanation of insurance coverage.
  • Obtained authorization for in-office procedures as well as verifying patient insurance coverage monthly.

9. Home Health

Here's how authorization specialists use home health:
  • Obtain eligibility and authorization for Home Health patient visits.
  • Processed prior authorizations from patient's health insurance companies for Home Health Rehab, Skilled Nursing and PCW services.

10. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how authorization specialists use cpt:
  • Coordinated with insurance company authorization department to resolve CPT code discrepancies.
  • Verified all in and outpatient accounts with the corrected CPT Codes and verified authorization and initiated all schedule hospital appointments.

11. Insurance Benefits

Here's how authorization specialists use insurance benefits:
  • Verify insurance benefits and eligibility for every patient and create new patient information packets for initial visits.
  • Schedule radiology tests, verify insurance benefits, obtain insurance authorizations and referrals.

12. Medical Necessity

Here's how authorization specialists use medical necessity:
  • Requested letters of medical necessity from numerous physicians in order to file appeals on denied authorization.
  • Update demographics; obtain letters of medical necessity and missing documentation from doctors.

13. Medicaid

Here's how authorization specialists use medicaid:
  • Processed medical provider and patient data for Medicaid assistance in partnership with medical staff to ensure efficient and accurate payment operations.
  • Handle all generic Commercial and generic Medicaid authorizations for Maryland and Virginia inpatient stays for 5 hospitals.

14. Clinical Data

Here's how authorization specialists use clinical data:
  • Review structured clinical data matching it against specified medical terms, diagnoses, and procedure codes.
  • Utilized clinical data management software including Misys Vision, Athena Collector, Allscripts, and eCW.

15. Medical Services

Here's how authorization specialists use medical services:
  • Verify insurance information for patient coverage and benefits pertaining to medical services designated for primary care physician office.
  • Processed incoming and outgoing patient referrals for medical services.
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List of authorization specialist skills to add to your resume

The most important skills for an authorization specialist resume and required skills for an authorization specialist to have include:

  • Patients
  • Customer Service
  • Insurance Verification
  • Medical Terminology
  • Insurance Eligibility
  • Veterans
  • EMR
  • Insurance Coverage
  • Home Health
  • CPT
  • Insurance Benefits
  • Medical Necessity
  • Medicaid
  • Clinical Data
  • Medical Services
  • Patient Service
  • Insurance Carriers
  • Patient Insurance
  • ICD-10
  • Durable Medical Equipment
  • Procedure Codes
  • Patient Care
  • Authorization Process
  • Medical Insurance
  • Phone Calls
  • Authorization Request
  • Excellent Organizational
  • HIPAA
  • Clinical Documentation
  • ICD-9
  • Patient Accounts
  • Appeals
  • Compassion
  • Data Entry
  • Medical Documentation
  • Computer System
  • Chemotherapy
  • Outbound Calls
  • MRI
  • Test Results
  • Medical Procedures
  • Patient Demographics
  • Diagnosis Codes
  • Front Desk
  • Surgical Procedures
  • Patient Appointments
  • Hippa
  • Physical Therapy
  • Schedule Appointments
  • HMO

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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