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1 Authorization Specialist Job in Park, MN

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Park Nicollet Methodist Hospital
Park, MN | Full Time
$57k-70k (estimate)
2 Weeks Ago
Authorization Specialist
$57k-70k (estimate)
Full Time 2 Weeks Ago
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Park Nicollet Methodist Hospital is Hiring an Authorization Specialist Near Park, MN

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.

Job Summary

JOB TYPE

Full Time

SALARY

$57k-70k (estimate)

POST DATE

04/24/2024

EXPIRATION DATE

05/03/2024

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The job skills required for Authorization Specialist include Customer Service, Collaboration, Billing, Critical Thinking, Communicates Effectively, Problem Solving, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Authorization Specialist positions, which can be used as a reference in future career path planning. As an Authorization Specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization Specialist. You can explore the career advancement for an Authorization Specialist below and select your interested title to get hiring information.

If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Authorization Specialist job description and responsibilities

Updates patient insurance and demographics information as needed.

03/31/2022: Florence, SC

Request, follow up and secure prior-authorizations prior to services being performed.

03/30/2022: Rochester, NY

Complete authorizations and referrals for services, including appointments and procedures.

01/29/2022: Clarksville, TN

Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order

03/22/2022: Ann Arbor, MI

Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed

01/29/2022: York, PA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Authorization Specialist jobs

There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.

03/31/2022: Greensboro, NC

Give credence to customer complaints.

02/08/2022: Salem, OR

Create a quick reference guide of your payor contacts

04/11/2022: Cincinnati, OH

Authorization Specialist assist with other clerical tasks as needed.

01/22/2022: Lincoln, NE

Licenses and certifications are not usually required to work as a prior authorization specialist.

03/09/2022: Bremerton, WA

Step 3: View the best colleges and universities for Authorization Specialist.

Butler University
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