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.
• Assists with backup duties in the Business Office as needed.
• Other duties as assigned.

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.
• Supportive of the goals and objectives of Minnesota Urology.
• 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

Job Posted by ApplicantPro

Last updated : 2024-06-19