Authorization Specialist

Park Nicollet is hiring an Authorization Specialist to create hospital encounters for surgical services at Park Nicollet Ambulatory Surgery Centers and Methodist Hospital. This role involves insurance verification, obtaining prior authorization approvals from insurance companies for procedures and hospital stays, and collaborating with the Care Team to submit clinical documentation for payer review.

What You Will Do

The Authorization Specialist will complete insurance verification, obtain and document prior authorization approvals, and submit clinical documentation for payer review. They will maintain documentation related to changes in payer requirements by reviewing insurance bulletins and publications, and attend continuing education classes to maintain department requirements.

Why It Might Be a Fit

This role requires a high school diploma or equivalent, demonstrated PC and keyboard experience, customer service skills, and knowledge of EPIC registration or electronic health records. Candidates should have critical thinking skills, knowledge of patient eligibility and hospital billing cycles, and proficiency with Epic and Microsoft Suite. Preferred qualifications include healthcare registration or revenue cycle experience and 2 years of healthcare experience.

Requirements

• High school diploma or equivalent
• Demonstrated P/C 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
• Preference for experience with the Microsoft Suite (e.g. Word, Excel, Outlook)
• Working knowledge of typical office equipment is expected

Benefits

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