Medical Insurance Authorization Rep

Rochester, MN 55902

Post Date: 08/09/2018 Job ID: 30802 Industry: Other Area(s)

Medical Insurance Authorization Rep

This position provides customer service to patients while assisting to obtain prior authorization for services.    This role is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. 

REQUIRED:

Previous experience in customer service, healthcare prior authorization, medical coding is preferred.

Strong phone communication skills is also preferred.

2+ years of relevant experience required OR Bachelor’ s Degree required

Basic knowledge of and experience in insurance verification and claim adjudication is preferred.

Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.

Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.

Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred.
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