Precertification and Authorization Rep-Supplemental/PRN-Remote

Mayo Clinic • Rochester, MN

8d • Remote

About The Position

This role reports up through the Revenue Cycle Patient Access team. The Precertification and Authorization Call Center Representative I reports to the Patient Access Supervisor. The position requires interaction and collaboration with insurance company representatives, patients, and physicians, as well as other departments that call into the Prior Auth department. The Precertification and Authorization Call Center Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization concerns, to support calls coming into the Prior authorization department. This role is to answer questions when call is received and route to the correct area if further assistance is needed. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations.

Requirements

• High School Diploma or GED and 2+ years of relevant experience required OR Bachelor’s degree required
• Ability to read and communicate effectively
• Basic computer/keyboarding skills, intermediate mathematic competency
• Good written and verbal communication skills
• Knowledge of proper phone etiquette and phone handling skills
• Position requires general knowledge of healthcare terminology and CPT-ICD10 codes.
• Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
• Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.

Nice To Haves

• Basic knowledge of and experience in insurance verification and claim adjudication is preferred.
• Knowledge of Denial codes is preferred.
• Knowledge of and experience using an Epic RC/EMR system is preferred.
• Healthcare Financial Management Association (HFMA) Certification Preferred.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees