Prior Authorization & Referral Specialist

Olmsted Medical CenterRochester, MN
2d$23 - $29

About The Position

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher. Medical Insurance Dental Insurance Vision Insurance Basic Life Insurance Tuition Reimbursement Employer Paid Short-Term Disability and Long-Term Disability Adoption Assistance Plan

Requirements

  • College Certificate, Associates Degree, or equivalent experience required
  • Strong Epic Revenue Cycle system knowledge
  • Excellent computer skills required
  • Strong interpersonal and communication skills
  • Leadership skills and flexibility to adapt to change in environment
  • Strong understanding of insurance benefits/prior authorization requirements

Nice To Haves

  • Medical background preferred

Responsibilities

  • Researches prior authorization issues and brings problems to resolution.
  • Updates resources with current carrier authorization requirements.
  • Steps “out of the box” by thinking creatively and brings forth new ideas and suggestions to the supervisor.
  • Creates, develops, coordinates, and implements new procedures to standardize processes throughout the department.
  • Audits procedures regarding the accurate capture and maintenance of system information as well as audits current procedures to maximize efficiency.
  • Trains and assists coworkers to follow and understand procedures
  • Active member and participant of focus groups.
  • Attends education and training seminars.
  • Other duties as assigned by management.

Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Basic Life Insurance
  • Tuition Reimbursement
  • Employer Paid Short-Term Disability and Long-Term Disability
  • Adoption Assistance Plan
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