Prior Authorization Specialist
Gillette Children's•Saint Paul, MN
•$22 - $31•Hybrid
About The Position
This position exists to facilitate the processing of authorizations, certifications and referrals needed by payers in order to allow reimbursement at the highest levels for both the patients and for the organization. Utilize available resources to check patient insurance benefits and eligibility to better inform our patients of their estimated financial liability.
Requirements
- High School Diploma/ GED
- 1 year experience in customer service, administrative, or healthcare setting
- Knowledge & understanding of medical terminology
- Knowledge & understanding of commercial insurance carriers and standard insurance forms
- Demonstrated strength in customer service, organization, attention to detail and the ability to work independently
- Demonstrated strong teamwork skills
- Demonstrated ability to multi-task and respond quickly/reprioritize changing needs
- Strong computer aptitude including knowledge of Microsoft Office (Word, Excel, Outlook)
Nice To Haves
- Advanced education (Associate or Bachelor’s)
Responsibilities
- Facilitate the processing of authorizations, certifications and referrals needed by payers.
- Check patient insurance benefits and eligibility.
- Inform patients of their estimated financial liability.
Benefits
- Retirement savings match
- Tuition and certification reimbursement
- Paid time off
- Health and wellness benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
