Prior Authorization & Referral Specialist

1.0 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.

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:

• 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.
• Other duties as assigned by management.