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Business Services - Prior Authorization

Company: Olmsted Medical Center
Location: Rochester
Posted on: January 25, 2023

Job Description:

Description1.0 FTE - Day Shifts
This position is 100% on-site.
Qualifications:


  • Minimum of an Associates 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.

      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


        Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

        The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: Olmsted Medical Center, Rochester , Business Services - Prior Authorization, Other , Rochester, Minnesota

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