Precertification and Authorization Rep-Supplemental/PRN-Remote

Why reputed company reputed company is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with reputed company.

Responsibilities

The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for reputed company reputed company, 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 reputed company the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/reputed company 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 Position requires general knowledge of reputed company 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 reputed company 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. reputed company Financial Management Association (HFMA) Certification Preferred.

• This position is a 100% remote work. Individual may live reputed company in the US.
• *This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

Exemption Status Nonexempt

Compensation

Detail $21.48 -$33.60 / hour based

Benefits

Eligible No Schedule Part Time Hours/Pay Period Supplemental/PRN Schedule Details M-F 8:00am-5:00 pm CST Weekend Schedule N/A International Assignment No Site Description Just as our reputed company has spread reputed company our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at reputed company Health System campuses throughout Midwestern communities, and at our international locations. Each reputed company location is a special reputed company where our employees reputed company in both their work and personal lives. Learn more about what each unique reputed company reputed company has to offer, and where your best fit is. Equal Opportunity reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, gender identity, sexual orientation, national reputed company, protected veteran status or disability status. Learn more about the 'EOE is the Law'. reputed company participates in E-Verify and may provide the Social reputed company Administration and, if necessary, the Department of Homeland reputed company with information from each new employee's Form I-9 to confirm work authorization. Recruiter Ronnie Bartz Apply tot his job Apply To this Job