Business Services – Prior Authorization

Description 1.0 FTE – Day Shifts At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher. Medical Insurance Dental Insurance Vision Insurance Basic Life Insurance Tuition Reimbursement Employer Paid Short-Term Disability and Long-Term Disability Adoption Assistance Plan Qualifications: Minimum of an associate degree in a business-related field or equivalent experience required Excellent computer skills, Medical Terminology experience preferred Strong written and verbal communication skills required General knowledge of accounts receivable preferred Job Responsibilities: Sets up insurance utilizing Epic system. Verifies benefit coverage for procedures, including surgery. Completes pre-certification and pre-notification requirements. Interacts with clinicians, nursing, and hospital staff. Answers patient questions including billing and account concerns. Remains calm and de-escalates crucial conversations. Reviews medical documentation to meet insurance requirements. Assists patients needing financial counseling including education regarding available programs. Assist with Financial Assistance, MNsure, and HPE. Responsible for facilitating the referral process both internally and externally. Other duties as assigned. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c) Olmsted Medical Center is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.