Mayo Clinic Healthcare London
Precertification and Authorization Rep-Remote
Mayo Clinic Healthcare London, Rochester, Minnesota, us, 55905
Overview
Join to apply for the
Precertification and Authorization Rep-Remote
role at
Mayo Clinic Healthcare London . Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Responsibilities
The Precertification and Authorization Representative 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
High School Diploma or GED and 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 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. Healthcare Financial Management Association (HFMA) Certification Preferred. Benefits & Details
This position is a 100% remote work. Individual may live anywhere in the US. This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status: Nonexempt Compensation Detail: $21.48 -$33.60/ hour Benefits Eligible: Yes Schedule: Full Time Hours/Pay Period: 80 Schedule Details: M-F 8am-5pm CST time. International Assignment: No Site Description: Mayo Clinic locations and international locations; learn more about each campus. Equal Opportunity: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Mayo Clinic participates in E-Verify. Recruiter Ronnie Bartz Job Details
Seniority level : Entry level Employment type : Full-time Job function : Other Industries : Hospitals and Health Care Referrals increase your chances of interviewing at Mayo Clinic Healthcare London by 2x Get notified about new Representative jobs in
Rochester, MN .
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Join to apply for the
Precertification and Authorization Rep-Remote
role at
Mayo Clinic Healthcare London . Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Responsibilities
The Precertification and Authorization Representative 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
High School Diploma or GED and 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 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. Healthcare Financial Management Association (HFMA) Certification Preferred. Benefits & Details
This position is a 100% remote work. Individual may live anywhere in the US. This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status: Nonexempt Compensation Detail: $21.48 -$33.60/ hour Benefits Eligible: Yes Schedule: Full Time Hours/Pay Period: 80 Schedule Details: M-F 8am-5pm CST time. International Assignment: No Site Description: Mayo Clinic locations and international locations; learn more about each campus. Equal Opportunity: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Mayo Clinic participates in E-Verify. Recruiter Ronnie Bartz Job Details
Seniority level : Entry level Employment type : Full-time Job function : Other Industries : Hospitals and Health Care Referrals increase your chances of interviewing at Mayo Clinic Healthcare London by 2x Get notified about new Representative jobs in
Rochester, MN .
#J-18808-Ljbffr