REGISTERED NURSE

3 weeks ago

MN United States Avera Health Full time
Part Time

MRM Pt Financial Service

300 S Bruce St

Nursing Professionals RN/LPN

Day Shift

* Only applicants that currently work at Avera Marshall Regional Medical Center, in the Patient Financial Services department, are eligible to apply for this position.*

Join the RN Nursing team at Avera

Love Where You Work: Work at Avera where current employees rate their satisfaction at 94%. Join a team where the career opportunities are endless.

Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

You Belong at Avera: Competitive pay, various shifts and career growth opportunities.

Exciting opportunity to join Avera as a Registered Nurse (RN) - Quality Coordinator

Position Highlights:

* Positive Work Environment: Be part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.
* Job Satisfaction: Each day you will positively impact each patient you serve with providing direct resident care.

Job Summary

* The primary responsibility of the Quality Specialist is to ensure that the patient prior authorization process is coordinated and managed in an efficient and timely manner for the clinics.
* The Quality Specialist is responsible for development of policies regarding management of the patient prior authorization process, overseeing compliance with such policies, monitoring industry changes and best practices to ensure policy adaptation using the best judgment of Quality Specialist, processing prior authorization requests with the patient's primary insurance or work comp, if necessary; gathering the necessary insurance information; requesting record transfers and insurance forms; assisting patients with billing questions and/or referring the patients to the appropriate billers as a consultant to the patients.

Education and/or Experience

* Clinical or insurance background preferred. Must have knowledge of computer software including Microsoft Windows and Outlook.

Licensure/Certification/Registration

* MN Registered Nurse license required upon hire.

Work Schedule

* Monday-Friday, 8:00am-4:30pm; 24hrs/2wks (hours will be added to current employee's FTE)

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