1 Prior Authorization Specialist Job in Crookston, MN
Riverview Health is Hiring a Prior Authorization Specialist Near Crookston, MN
RiverView Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN.
RiverView Health operates a 25 bed Critical Access Hospital, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area.
We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.
RiverView is an Equal Employment Opportunity employer.
Responsibilities:RiverView Health has a full-time (64 hours every 2 weeks) opening for a Prior Authorization Specialist. The prior authorization specialist is responsible for ensuring that payers are prepared to reimburse RiverView Health for scheduled services in accordance with the payer-provider contract. They also gather additional medical records from other providers to support medical necessity requirements and alert the clinicians involved if there are issues with referrals or complications with insurance coverage. For patients who do not receive insurance coverage, the prior authorization specialist refers accounts to the financial counselor and/or identifies the patients who need to receive a Medicare Advance beneficiary Notice of Noncoverage (ABN). In addition, they work collaboratively with many different individuals to help support appeal efforts for authorization-related denials while also staying in close contact with the patient as needed. Salary range is $18.80 - $26.33 and starting wage is dependent on experience.
Qualifications:- High school diploma or equivalent (GED) required.
- Associates degree in healthcare or business administration and/or related/comparable experience preferred.
- 1 year related working experience in healthcare is required.
- Work experience with the Prior Authorization process and experience with EPIC EMR system is preferred.
- Working knowledge of computers, excellent communication and organization skills is preferred.
Job Summary
Full Time
$34k-42k (estimate)
04/30/2024
05/13/2024
riverview.org
SHERIDAN, IN
<25
1909
ERIC MARCOTTE
<$5M
Ambulatory Healthcare Services
Related Companies
About Riverview Health
Riverview Health is comprised of a full-service, 156-bed hospital in Noblesville, a 16-bed hospital in Westfield, as well as freestanding combined ER and urgent care facilities. Also included are more than 25 primary, immediate and specialty-care facilities in Hamilton County. Riverview Health provides comprehensive inpatient and outpatient services in more than 35 healthcare specialties and has been frequently recognized for its clinical and service excellence, including being named America's 100 Best Hospitals for Orthopedic Surgery by Healthgrades and earning the Healthgrades Outstanding Pa...tient Experience award. For more information on Riverview Health, visit riverview.org.Together, we provide comprehensive inpatient and outpatient services in more than 35 healthcare specialtiesand have been frequently recognized for our clinical and service excellence. A wide range of services is provided at our main campuslocated at 395 Westfield Rd. in Noblesvilleincluding comprehensive care in heart & vascular, orthopedics, advanced emergency services and a vast array of women's health services. As one of the largest employers in Hamilton County, Riverview Health employs more than 1,400 employees, thereby having a significant impact on the local economy. Riverview Health is owned by the county and does not receive tax dollars for operating expenses.
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The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Prior 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 a Prior Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Prior Authorization Specialist job description and responsibilities
Request, follow up and secure prior-authorizations prior to services being performed.
04/09/2022: Laramie, WY
Receive requests for pre-authorizations and ensure that they are properly and closely monitored.
03/28/2022: Schenectady, NY
Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
02/27/2022: Wichita, KS
Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
04/08/2022: Altus, OK
Reported to supervisor to assure accurate capture of services needing authorization.
02/05/2022: Dothan, AL
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 Prior Authorization Specialist jobs
Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.
02/12/2022: New Britain, CT
A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.
03/28/2022: Galveston, TX
Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.
04/04/2022: Lebanon, PA
Some experience in medical billing or insurance authorization are strongly preferred by most employers.
03/10/2022: Jamestown, NY
Licenses and certifications are not usually required to work as a prior authorization specialist.
04/02/2022: Mcallen, TX
Step 3: View the best colleges and universities for Prior Authorization Specialist.
