Prior Authorization
Olmsted Medical Center•Rochester, MN
•Onsite
About The Position
This position is responsible for managing prior authorization processes, including setting up insurance, verifying benefits, completing pre-certification and pre-notification, and interacting with various staff and patients. The role also involves reviewing medical documentation, assisting patients with financial counseling, and facilitating referral processes.
Requirements
- Minimum of an associate degree in a business-related field or equivalent experience required
- Excellent computer skills required
- Strong written and verbal communication skills required
Nice To Haves
- Medical Terminology experience preferred
- General knowledge of accounts receivable preferred
Responsibilities
- Sets up insurance utilizing Epic system.
- Verifies benefit coverage for procedures, including surgery.
- Completes pre-certification and pre-notification requirements.
- Interacts with clinicians, nursing, and hospital staff.
- Answers patient questions including billing and account concerns.
- Remains calm and de-escalates crucial conversations.
- Reviews medical documentation to meet insurance requirements.
- Assists patients needing financial counseling including education regarding available programs.
- Assist with Financial Assistance, MNsure, and HPE.
- Responsible for facilitating the referral process both internally and externally.
- Other duties as assigned.
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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
