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Healthcare Authorization Specialist II

Rady Children's Hospital-San Diego

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Original Job Summary

Job Summary

The Healthcare Authorization Specialist II at Rady Children's Hospital-San Diego is responsible for verifying insurance benefits, calculating patient responsibility estimates, and securing authorization timely for assigned service types. The role requires being a specialist in handling internal and external inquiries and supporting various communication needs.

Key Responsibilities

  • Verify insurance benefits and calculate patient estimates.
  • Secure timely authorizations for assigned services.
  • Address internal and external customer inquiries.
  • Support various communication needs as required.

Skills Required

  • Integrity and excellent interpersonal skills
  • Strong organizational and writing abilities
  • Excellent verbal and written communication
  • Superior customer relation skills
  • Data organization and interpretation
  • Good judgment, tact, and problem-solving skills
  • Proven computer and software proficiency

Minimum Qualifications

  • High School Diploma, GED, or Equivalent
  • 2 years of Healthcare Authorization experience or 4 years of Healthcare Revenue experience

Preferred Qualifications

  • Experience with Epic or other EMR Systems
  • 5 years of experience
  • Bilingual in English/Spanish

Compensation

The current hourly rate ranges from $23.10 to $31.77, with compensation decisions based on experience, education, licensure, unique skill sets, organizational need, and internal equity.

Key skills/competency

  • insurance
  • authorization
  • healthcare
  • communication
  • customer service
  • EMR
  • data interpretation
  • integrity
  • organizational skills
  • problem solving

How to Get Hired at Rady Children's Hospital-San Diego

🎯 Tips for Getting Hired

  • Customize your resume: Tailor it to highlight healthcare claims experience.
  • Research Rady Children's: Understand their mission and healthcare focus.
  • Emphasize communication: Showcase strong verbal and written skills.
  • Prepare examples: Demonstrate problem-solving in previous roles.

📝 Interview Preparation Advice

Technical Preparation

Review authorization workflows in healthcare.
Familiarize with Epic or EMR systems.
Practice data interpretation exercises.
Study insurance verification processes.

Behavioral Questions

Describe a time you handled a difficult inquiry.
Explain a situation with a communication challenge.
Discuss how you prioritize multiple tasks.
Share a problem-solving customer service example.