Authorization Specialist

Position Summary

The Authorization Specialist is responsible for creating hospital encounters for surgical services throughout Park Nicollet Ambulatory Surgery Centers and Methodist Hospital. This position is responsible for completing insurance verification, obtaining and documenting prior authorization approvals from insurance companies for procedures and hospital stays. In collaboration with the Care Team, the Authorization Specialist will obtain and submit clinical documentation pertinent to the specific services requiring authorization for payer review. The Authorization Specialist will maintain and update documentation as it relates to changes in payer prior-authorization, pre-certification and notification requirements by reviewing insurance payer bulletins and publications.

Required Qualifications

• Demonstrated P/C and keyboard experience.
• Demonstrated customer service skills.
• Demonstrated written/verbal communication skills.
• Knowledge of EPIC registration and/or any electronic health record.
• Ability to work cohesively and respectfully with a diverse work force and patient population.
• Ability to utilize critical thinking skills while working through complex situations.
• Knowledge of patient eligibility and related systems.
• General knowledge of hospital billing cycle.
• Demonstrates effective time management skills and problem solving skills.
• Communicates effectively and maintains composure under stressful situations.
• Ability and expectation to successfully complete a competency examination on insurance selection/process upon completion of training and annually thereafter.
• Ability and expectation to demonstrate competency on insurance selection/process on a monthly basis.
• Proficient with Epic, personal computers with word processing, spreadsheets and email is required.
• Preference for experience with the Microsoft Suite (e.g. Word, Excel, Outlook).
• Working knowledge of typical office equipment is expected.

Preferred Qualifications

• Post high school degree or certification.
• Healthcare registration experience.
• Healthcare revenue cycle experience.
• Knowledge, Skills, and Abilities: 2 years previous healthcare experience which may include medical terminology, insurance eligibility, prior-authorizations, but not limited to ICD/CPT coding experience.

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits

• Medical insurance
• Dental insurance
• A retirement program
• Time away from work
• Insurance options
• Tuition reimbursement
• An employee assistance program
• Onsite clinic

Pay

Competitive benefits package

Schedule

• Two scheduling options available: Monday, Wednesday, Thursday, Friday – 8:30am-5pm No holidays, no weekends
• Tuesday, Wednesday, Thursday and Friday – 7:00am-3:30pm No holidays, no weekends.