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Metropolitan Heart & Vascular Institute

CAREER OPPORTUNITYPrior Authorization SpecialistReports to: Business Office SupervisorLocation: Mercy Hospital, Coon RapidsJob Status/Hours: Full time 8:00am &ndash; 4:30pm HybridPosition Summary: We are seeking a full time, motivated and talented Prior Auth Specialist to join our busy, fast-paced specialty office at Metropolitan Heart &amp; Vascular Institute. This position will be responsible for prior authorization for procedures and verifying accurate insurance information. Come be a part in our patient&rsquo;s lives and work for an organization that puts its staff and patients first.Job Responsibilities:<ul><li>Verify and update insurance coverage to ensure patient eligibility.</li><li>Act as a resource for prior authorizations, referral, and insurance questions from business office staff, providers, employees, and patients.</li><li>Gather patient records and submit online requests to insurance companies for prior authorization. May need to call patients and outside facilities to gather information.</li><li>Is a liaison between MHVI and Allina Business office, being the patients advocate for pending or denied claims.</li><li>Ability to deliver high quality customer service to external and internal customers by communicating with knowledge and compassion.</li><li>Work as part of a team to complete departmental responsibilities.</li><li>Promote a positive work environment through effective teamwork.</li><li>Review patient work queues and corrects information when necessary.</li><li>Work the Claims work queue, follow-up work queue and does miscellaneous back-end follow-up.</li></ul>Qualifications:<ul><li>Requires high school diploma or equivalent</li><li>2-4 years of current prior authorization experience or Revenue Cycle (Registration, Billing, Coding) experience</li><li>Experience with insurance portals for processing prior authorizations</li><li>Ability to prioritize multiple tasks with frequent interruptions</li><li>Deliver high quality customer service to external and internal customers</li><li>Ability to work efficiently and accurately in a fast-paced environment</li><li>A team player with the ability to work independently</li><li>Must have strong computer skills. Epic/Excellian strongly preferred</li><li>Strong attention to detail and high accuracy rate required</li><li>Ability to develop a positive, comforting rapport with patients</li></ul>MHVI Offers a full benefit package, including:<ul><li>Competitive pay</li><li>Employer HSA contribution</li><li>401k profit sharing and ongoing contribution &ndash; no employee contribution needed</li><li>PTO plus paid holidays</li><li>Medical insurance, including access to free online/at-home care</li></ul>As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, veteran, or disability status.Job Type: Full-timePay: $25.00 - $27.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Disability insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Experience:<ul><li>Revenue Cycle (Registration, Billing, Coding): 2 years (Preferred)</li><li>insurance portals : 1 year (Preferred)</li><li>Epic/Excellian: 1 year (Preferred)</li><li>Prior Authorization : 2 years (Required)</li></ul>Ability to Commute:<ul><li>Minneapolis, MN 55433 (Required)</li></ul>Ability to Relocate:<ul><li>Minneapolis, MN 55433: Relocate before starting work (Required)</li></ul>Work Location: Hybrid remote in Minneapolis, MN 55433

Prior Authorization Specialist

Join Metropolitan Heart & Vascular Institute and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Metropolitan Heart & Vascular Institute

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Prior Authorization Specialist