Prior Authorization & Referral Specialist
Description
FTE - Day Shift
Starting Pay - $23.18 to $28.97 (based on experience)
Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.
Benefits
To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.
Medical Insurance
Dental Insurance
Vision Insurance
Basic Life Insurance
Tuition Reimbursement
Employer Paid Short-Term Disability and Long-Term Disability
Adoption Assistance Plan
Qualifications
College Certificate, Associates Degree, or equivalent experience required
Strong Epic Revenue Cycle system knowledge
Excellent computer skills required
Medical background preferred
Strong interpersonal and communication skills
Leadership skills and flexibility to adapt to change in environment
Strong understanding of insurance benefits/prior authorization requirements
Job Responsibilities
- Researches prior authorization issues and brings problems to resolution.
- Updates resources with current carrier authorization requirements.
- Steps "out of the box" by thinking creatively and brings forth new ideas and suggestions to the supervisor.
- Creates, develops, coordinates, and implements new procedures to standardize processes throughout the department.
- Audits procedures regarding the accurate capture and maintenance of system information as well as audits current procedures to maximize efficiency.
- Trains and assists coworkers to follow and understand procedures
- Active member and participant of focus groups.
- Attends education and training seminars.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Olmsted Medical Center is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.