Authorization Specialist
Park Nicollet Methodist Hospital
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At a glance
Job overview
The Authorization Specialist creates hospital encounters for surgical services, verifies insurance, obtains and documents prior authorizations, and maintains payer documentation while collaborating with the care team to ensure compliance and patient satisfaction.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Job Duties
Park Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
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.
This position must attend continuing education classes and complete mandatory training in order to maintain department specific requirements and professional growth. Effective performance of these functions helps the organization achieve strong cash flow and maximize patient's satisfaction.
Required Qualifications:
Education, Experience or Equivalent Combination:
High school diploma or equivalent
Knowledge, Skills, and Abilities:
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.
Proficiency with Epic, personal computers with word processing, spreadsheets and email.
Preference for experience with the Microsoft Suite (e.g. Word, Excel, Outlook).
Working knowledge of typical office equipment is expected.
Preferred Qualifications:
Education, Experience or Equivalent Combination:
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.
Benefits:
Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. We are committed to a culture of diversity, equity, and inclusion. A culture where every person feels welcome, included, and valued. It’s an important part of our Head + Heart, Together culture, and critical to our success.
Minimum Education Required
High School Diploma or Equivalent
Minimum Experience Required
2 - 20 years
Shift
First (Day)
Number of Openings
1
Public Transportation Accessible
Yes
Veterans Encouraged to Apply
No
Physical Required
Yes
Drug Test Required
Yes
Compensation
$11.41 / Hourly
Postal Code
55106
Job Type
Full Time
Place of Work
On-site
Requisition ID
121780
Job Benefits
Not specified
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