Prior Authorization Specialist

CAREER OPPORTUNITY

Prior Authorization Specialist

Reports to: Business Office Supervisor

Location: Mercy Hospital, Coon Rapids

Job Status/Hours: Full time 8:00am – 4:30pm Hybrid

Position Summary:
We are seeking a full time, motivated and talented Prior Auth Specialist to join our busy, fast-paced specialty office at Metropolitan Heart & Vascular Institute. This position will be responsible for prior authorization for procedures and verifying accurate insurance information. Come be a part in our patient’s lives and work for an organization that puts its staff and patients first.

Job Responsibilities:

• Verify and update insurance coverage to ensure patient eligibility.
• Act as a resource for prior authorizations, referral, and insurance questions from business office staff, providers, employees, and patients.
• Gather patient records and submit online requests to insurance companies for prior authorization. May need to call patients and outside facilities to gather information.
• Is a liaison between MHVI and Allina Business office, being the patients advocate for pending or denied claims.
• Ability to deliver high quality customer service to external and internal customers by communicating with knowledge and compassion.
• Work as part of a team to complete departmental responsibilities.
• Promote a positive work environment through effective teamwork.
• Review patient work queues and corrects information when necessary.
• Work the Claims work queue, follow-up work queue and does miscellaneous back-end follow-up.

Qualifications:

• Requires high school diploma or equivalent
• 2-4 years of current prior authorization experience or Revenue Cycle (Registration, Billing, Coding) experience
• Experience with insurance portals for processing prior authorizations
• Ability to prioritize multiple tasks with frequent interruptions
• Deliver high quality customer service to external and internal customers
• Ability to work efficiently and accurately in a fast-paced environment
• A team player with the ability to work independently
• Must have strong computer skills. Epic/Excellian strongly preferred
• Strong attention to detail and high accuracy rate required
• Ability to develop a positive, comforting rapport with patients

MHVI Offers a full benefit package, including:

• Competitive pay
• Employer HSA contribution
• 401k profit sharing and ongoing contribution – no employee contribution needed
• PTO plus paid holidays
• Medical insurance, including access to free online/at-home care

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-time

Pay: $25.00 - $27.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Experience:

• Revenue Cycle (Registration, Billing, Coding): 2 years (Preferred)
• insurance portals : 1 year (Preferred)
• Epic/Excellian: 1 year (Preferred)
• Prior Authorization : 2 years (Required)

Ability to Commute:

• Minneapolis, MN 55433 (Required)

Ability to Relocate:

• Minneapolis, MN 55433: Relocate before starting work (Required)

Work Location: Hybrid remote in Minneapolis, MN 55433