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Precertification and Authorization Representative I - Revenue Cy
ROCHESTER MN 55901
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-89750781

Company Profile

Mayo Clinic

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Summary

  Job posted:   Thu May 17, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
Precertification and Authorization Representative I - Revenue Cy

City


Rochester




State


Minnesota




Telecommute


No




Department


Finance




Position description


The Precertification and Authorization Representative I is an intermediate level position that 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. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations.




Qualifications


Minimum Education: High School Diploma or GED required

Minimum Experience: 2+ years of relevant experience required OR Bachelor's Degree required

Additional Requirements include:

Ability to read and communicate effectively

Basic computer/keyboarding skills, intermediate mathematic competency

Good written and verbal communication skills

Knowledge of proper phone etiquette and phone handling skills





Additional qualifications


Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. 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.




Exemption status


Non-exempt




Compensation Detail


Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum pay rate is $20.54 per hour.




Benefits eligible


Yes




Schedule


Part Time




Hours / Pay period


72




Schedule details


Applicants for this position must be available Monday- Friday, 8:00 am - 5:00 pm

May require overtime to be determined by business needs.



Position may be eligible for and/or required for telework based on business need, from an off-site location, following adequate training period and demonstrated ability to meet required metrics.




Site description


Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.




Category


Administration, Business, Finance




Career profile


Finance




Job posting number


98816BR




Recruiter


Christin Miley




Equal opportunity employer


Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).



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