What are the responsibilities and job description for the Prior Authorization Specialist position at Minneapolis Radiation Oncology?
Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Edina. Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office. The ability to work a hybrid schedule with 1-2 days per week remotely is an option once fully trained after approximately 3 to 6 months.
Duties and Responsibilities:
- Obtain prior approval from patient’s health insurance plan before moving ahead with radiation treatments or procedures to ensure health insurance claims are processed and paid correctly
- Communicate internally with clinic personnel to obtain and interpret complex radiation treatment planning information and facilitate prior authorizations and appeals for pre-service denials if needed
- Complete medical necessity paperwork and submit to/follow-up with various insurance carriers
- Review and appeal rejected claims
- Spend significant time on the phone talking to insurance companies and 3rd party vendors
- Work with various business office departments and clinics to streamline processes and ensure timely accurate billing
Hourly pay rate starts at approximately $23-25 per hour, based on experience and qualifications. Excellent benefits package includes generous paid vacation, sick time and holidays; health, dental, vision and disability insurance coverage; 401k with profit sharing; and more!
Salary : $23 - $25