Authorization Specialist

Park Nicollet is hiring an Authorization Specialist to join their team. This role is responsible for creating hospital encounters for surgical services at Park Nicollet Ambulatory Surgery Centers and Methodist Hospital. The position involves completing insurance verification, obtaining and documenting prior authorization approvals from insurance companies for procedures and hospital stays.

What You Will Do

In collaboration with the Care Team, the Authorization Specialist will obtain and submit clinical documentation pertinent to specific services requiring authorization for payer review. They will maintain and update documentation related to changes in payer prior-authorization, pre-certification, and notification requirements by reviewing insurance payer bulletins and publications. This position must attend continuing education classes and complete mandatory training to maintain department requirements and professional growth.

Why It Might Be a Fit

Candidates should have demonstrated PC and keyboard experience, customer service skills, and written/verbal communication skills. Knowledge of EPIC registration or any electronic health record is required, along with the ability to work with a diverse workforce and patient population. The role offers a competitive benefits package including medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, and an onsite clinic.

Requirements

• High school diploma or equivalent
• Demonstrated PC and keyboard experience
• Demonstrated customer service skills
• Demonstrated written/verbal communication skills
• Knowledge of EPIC registration and/or any electronic health record
• Ability to work cohesively and respectfully with a diverse work force and patient population
• Ability to utilize critical thinking skills while working through complex situations
• Knowledge of patient eligibility and related systems
• General knowledge of hospital billing cycle
• Demonstrates effective time management skills and problem-solving skills
• Communicates effectively and maintains composure under stressful situations
• Ability and expectation to successfully complete a competency examination on insurance selection/process upon completion of training and annually thereafter
• Ability and expectation to demonstrate competency on insurance selection/process on a monthly basis
• Proficiency with Epic, personal computers with word processing, spreadsheets and email

Benefits

• Medical insurance
• Dental insurance
• Retirement program
• Time away from work
• Insurance options
• Tuition reimbursement
• Employee assistance program
• Onsite clinic