Prior Authorization Assistant

CentraCare•Saint Cloud, MN
•$21 - $32•Remote

About The Position

The Prior Authorization Assistant works on CentraCare’s Prior Authorization team, which processes health plan and payer utilization review requirements—including managed care referrals, pre-certifications, and prior authorizations—in a timely and accurate manner. The role works closely with internal physicians and staff, as well as healthcare providers outside the clinic, to facilitate quality patient care and provide excellent customer service. The assistant supports and implements patient safety and other appropriate safety practices and demonstrates Family Centered Care principles when interacting with patients, their families, and co-workers. This is a full-time position scheduled for 72 hours every two weeks, Monday through Friday, with hours between 8:00 a.m. and 4:30 p.m. The role is majority remote, with orientation and occasional meetings onsite.

Requirements

  • Associate’s degree, preferably in Health Information Technology (HIT) or another healthcare-related program, or one year of relevant healthcare experience in lieu of education.

Nice To Haves

  • At least one year of experience in prior authorization.
  • Knowledge of healthcare and medical practices.

Responsibilities

  • Process health plan and payer utilization review requirements, including managed care referrals, pre-certifications, and prior authorizations, in a timely and accurate manner.
  • Work with internal physicians and staff and healthcare providers outside the clinic to facilitate quality patient care and provide excellent customer service.
  • Support and implement patient safety and other safety practices as appropriate.
  • Demonstrate Family Centered Care principles when interacting with patients, their families, and co-workers.

Benefits

  • Tuition reimbursement and college grant programs are available.
  • Full-time benefits include medical and dental coverage, paid time off, retirement, employee discounts, and more.
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