Prior Authorization

1.0 FTE - Day Shift

Starting Pay - $22.50 to $28.12 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. 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:

• Minimum of an associate degree in a business-related field or equivalent experience required
• Excellent computer skills, Medical Terminology experience preferred
• Strong written and verbal communication skills required
• General knowledge of accounts receivable preferred

Job 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.