Authorization Support Specialist
2 weeks ago
What You Can Anticipate:
At Grand Itasca, our Authorization Support Specialists appreciate the stability, impactful work, and collaborative environment we foster. We are dedicated to selecting individuals who contribute significantly to the operational efficiency of our healthcare facility. If you are eager to enhance the daily operations of our healthcare services, Grand Itasca is the ideal place for you.
We are pleased you are considering a role with us.
Grand Itasca is an excellent workplace for Authorization Support Specialists. As a non-profit entity, we are committed to leading the transformation of rural healthcare by delivering exceptional quality, accessibility, and value. Our success is rooted in teamwork and collaboration among a diverse group of skilled professionals. With a workforce exceeding 700 employees across various roles, Grand Itasca offers numerous career pathways.
Let’s discuss the benefits.
- Competitive compensation
- Flexible remote work options
- Tuition reimbursement and scholarship opportunities
- Health, dental, vision, and life insurance coverage begins on the first of the month following 30 days of employment
- Generous paid time off to support a healthy work-life balance
- Short-term disability bank
- 401K plan with employer contributions
- Experience-based pay
- Employee referral incentives
- On-the-job training provided
- No weekend shifts required
About the Role
- Authorization Support Specialist
- Full-Time (1.0 FTE, 80 hours per pay period)
- Daytime hours
- Hybrid/Remote work arrangement
Job Summary:
The Authorization Support Specialist is tasked with overseeing the prior authorization process in accordance with Grand Itasca Clinic & Hospital's policies and procedures. This role is vital to the patient care team, acting as a liaison among patients, caregivers, and support staff to ensure exceptional service and optimize patient flow. The position requires analytical skills to gather necessary information for prior authorizations, referrals, and notifications regarding admissions and discharges.
Key Responsibilities:
- Initiate and manage prior authorizations as mandated by payers while ensuring confidentiality and privacy
- Request and secure authorization and medical necessity for rehabilitation services, home care, and pharmacy needs
- Obtain pre-certifications for all inpatient and outpatient surgical procedures
- Gather information and prior authorizations for workers' compensation cases
- Complete necessary requirements for initial care provision and insurance referrals for specialized care
- Stay informed on insurance requirements and perform duties accurately and promptly
- Understand release of information protocols
- Maintain current status on assigned work queues and provide clinical information to insurance companies for prior authorizations
- Communicate effectively and respectfully with patients and Grand Itasca staff
- Utilize strong computer skills to fulfill assigned tasks
Qualifications:
- 2-3 years of experience in financial counseling or patient registration, or a healthcare-related associate degree is required
- Familiarity with insurance billing, collections, and plan types
- Customer service experience within a healthcare setting
- Additional coursework or experience in insurance billing, accounting, or business administration is preferred
- Consistent and reliable attendance is essential
- Ability to adhere to Grand Itasca's policies, vision, mission, and values
About Grand Itasca:
Grand Itasca combines the advantages of a large, respected health system with a commitment to our local community. As a non-profit, state-of-the-art integrated clinic and hospital, we proudly offer a wide range of high-quality providers, specialties, and services to our community. Experience our patient-centered, comprehensive approach, close to home, while enjoying the beauty of northern Minnesota.
Grand Itasca is an equal opportunity employer. All qualified applicants will receive consideration without regard to any lawfully protected status.
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