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Prior Authorization/Pre-Certification Coordinator

3 months ago

Minneapolis, United States Minnesota Urology P.A. Full time
Job DescriptionJob Description

MN Urology is currently seeking a full time Prior Authorization Coordinator

Position is located in our Edina, MN clinic

Monday-Friday

Regular Daytime Hours, No Evenings, No Weekends, No Holidays

The Prior Authorization/Pre-Certification Coordinator is responsible for performing prior authorizations, pre-certifications for surgeries, pre-collecting funds as appropriate, and other office procedures as necessary.


JOB DESCRIPTION:

  • Responsible for performing prior authorizations and pre-certifications for surgeries, other office procedures as necessary, and pre-collecting funds as appropriate.
  • Assist patients in obtaining prior authorizations and pre-certifications.
  • Serves as a resource for staff and physicians regarding prior authorization and pre-certification policies and procedures.
  • Attends various meetings and enhances professional development and growth on a regular basis; makes recommendations for revision and/or new departmental procedures under the direction of the supervisor.
  • Incorporates the use of technology. Completes pre-certification and prior authorizations online as required.
  • Remains up to date on the areas of coding and new codes.
  • Maintains insurance knowledge.
  • Communicate effectively and compassionately with patients. Communicate effectively with staff, management, and physicians.

ESSENTIAL JOB FUNCTIONS:

  • Incorporates the use of technology into day-to-day tasks by using Outlook, Microsoft Office Suite, Athena effectively and accurately.
  • Knowledge and experience using and navigating various payer websites.
  • Responsible for efficient and accurate prior authorizations and pre-certifications of patients. Maintain patient confidentiality.
  • Remains up to date on all insurance and coding knowledge
  • Represent Minnesota Urology PA. in a professional manner related to appearance, communication, and the maintenance of patient confidentiality.
  • Ability to communicate effectively and compassionately with the patients, staff, management, and physicians.
  • Attendance and punctuality.

EDUCATION/TRAINING/LICENSURE:

  • High school diploma or equivalent.
  • Coding coursework and knowledge required
  • Good computer skills required.
  • Minimum of one-year customer service or reception experience, preferably in a medical office environment.
  • Knowledge of Athena Medical Practice Management System preferred, but not required. Knowledge of Microsoft Office Suite helpful, but not required.
  • Two years of experience working with various insurances. Required
  • Prior experience in Prior Authorization/Pre-certification preferred.

Benefits

  • Comprehensive benefits package for full time employees
  • Medical, Dental, Vision and much more
  • Opportunities for career development and advancement
  • 401k plan with employer safe harbor contribution and potential profit-sharing
  • Paid Time Off (PTO)
  • Paid Holidays, Paid Floating Holidays, Paid Bereavement Leave
  • Free Parking
  • Uniform Reimbursement/Allowance

Minnesota Urology P.A. is an equal opportunity employer.



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