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Precert and Auth Rep I - Limited Tenure at Mayo Clinic

Posted in General Business 30+ days ago.

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Type: Full-Time
Location: Red Wing, Minnesota





Job Description:

City

Red Wing

State

Minnesota

Telecommute

No

Department

Finance

Position description

The Precertification and Authorization Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations.

Qualifications

High School Diploma or GED and 2+ years of relevant experience required

OR

Bachelor's Degree required

Additional Requirements include:
Ability to read and communicate effectively
Basic computer/keyboarding skills, intermediate mathematic competency
Good written and verbal communication skills
Knowledge of proper phone etiquette and phone handling skills

Additional qualifications

Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred.

Exemption status

Non-exempt

Compensation Detail

Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum pay rate is $18.39 per hour.

Benefits eligible

Yes

Schedule

Full Time

Hours / Pay period

80

Schedule details

Monday-Friday Days 8-4:30

Weekend schedule

No weekends

Site description

Red Wing Minnesota, which is nestled among the bluffs, also known as the Banner County of Minnesota, is less than an hour from the St. Paul/Minneapolis metro area. Red Wing is known for its beautiful scenery and extraordinary history. The city's more than 16,000 residents enjoy a vibrant mix of healthy living activities all year round! If it's cultural and performing arts you enjoy, you'll relish in the best local, regional and national arts and entertainment! This city is truly symbolic of "Minnesota Nice!"

Category

Administration, Business, Finance, Office & Administrative Support

Career profile

Finance

Job posting number

116106BR

Recruiter

Veronica Bartz

Equal opportunity employer

Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).

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