JOB SUMMARY
The Authorization Specialist position is responsible for reviewing requests for prior authorization of medical services including elective and outpatient surgeries and procedures, home health, out of network requests, and expedited requests for medical necessity in accordance with government, commercial, and workers compensation health plan coverage guidelines. This individual is responsible for benefit determination and documenting completely and accurately in accordance with healthcare system guidelines. This position works well independently solving problems and acts as liaison with others outside the department to create smooth workflows and transitions of information needed for authorizations. Promotes harmonious and efficient intra and inter departmental relationships and delivers quality customer service. Adheres to the Mission, Vision, Values and Philosophy of the departments and Saint Francis Healthcare System. Constantly works with and maintains restricted or confidential information from many sources within the healthcare system. Any and all duties as assigned by Manager and Director.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Friday 8:00am-4:30pm
Opportunity for remote work after 6 months on-site training
Education:
High school graduate or equivalent required.
Experience:
One year of experience in a healthcare setting obtaining insurance authorizations strongly preferred.
Experience with CPT and ICD codes is a plus.
Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.
Minimum hourly rate: $15.00/hour
A relevant and up to date general benefits description may be found on our website:
https://www.sfmc.net/careers/benefits/
ADDITIONAL INFORMATION
Why Work at Saint Francis?
Saint Francis Healthcare System began in 1875 when three courageous Franciscan Sisters answered a call to care for those in need. What started as a 12‑bed hospital has grown into the region’s leading healthcare system—recognized nationally for exceptional quality, safety, and patient experience.
Today, Saint Francis serves more than 715,000 people across five states. With a 306‑bed Medical Center, nearly 3,000 team members, and over 300 providers, Saint Francis is not only the largest healthcare system between St. Louis and Memphis—it’s a powerful economic anchor for the communities it serves.
You’ll find more than 50 specialties, the region’s only Level III Emergency and Trauma Center, and southeast Missouri’s first Level III NICU. The system’s employed physician group, Saint Francis Medical Partners, supports more than 40 outreach clinics and 70% of the area’s primary care providers.
A Mission That Matters
At Saint Francis, you’re not just doing a job - you’re part of a Catholic healing ministry rooted in compassion, dignity, and service. Every action is inspired by a commitment to honor human life and care for every person who walks through the doors.
Mission
To provide a ministry of healing, wellness, quality, and love inspired by our faith in Jesus Christ.
Vision
To be a leading Catholic healthcare system that celebrates and protects the gift of life by providing exceptional patient outcomes in quality, safety, access and value.
Values You Can Feel Every Day
Integrity: Doing what’s right, even when no one is watching
Stewardship: Managing resources wisely for the future
Faith: Believing in a purpose greater than ourselves
Hope: Lifting up those who feel discouraged
Joy: Serving others with a grateful, happy heart
Compassion: Seeing others through Christ's eyes
Excellence: Always striving to be the best
Dignity: Respecting human life from beginning to end
If You’re Looking to Make a True Impact…
Saint Francis offers a workplace where your work has purpose, your team feels like family, and your contributions support a mission that has been changing lives for more than 150 years.
Total Rewards
Our most important asset is our colleagues. That's why Saint Francis Healthcare System offers a comprehensive benefits program to meet all your needs. Colleagues working at least 24 hours per week will have access to our Total Rewards package as outlined below.
Comprehensive and affordable health coverage including medical, prescription, dental and vision - available on the first of the month after hire date
Saint Francis Medical Services Discount
Earned Time Off (ETO) based on relevant years of work history. ETO combines vacation, sick, holidays, and personal days into one balance to allow for flexibility
Retirement benefits including SFHS immediate matching
Education Assistance benefits up to $5,000 per calendar year for one year of service after graduation
Other benefits including: Benefit Support through Health Advocate, Employee Assistance Program, Flexible Spending Accounts, Identity Theft Protection, Pet Insurance, Earned Wage Access
To learn more about our Total Rewards package and eligibility, visit www.sfmc.net/careers/benefits/.
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call 573-331-5152 or email us at careers@sfmc.net.