Prior Authorization Assistant

Posted 2 Days Ago
Be an Early Applicant
St. Cloud, MN, USA
In-Office
21-32 Hourly
Junior
Healthtech
The Role
Processes managed care referrals, pre-certifications, and prior authorizations accurately and promptly. Coordinates with physicians, internal staff, external healthcare providers, patients, and families to support quality patient care, patient safety, and Family Centered Care principles. Provides excellent customer service while meeting health plan and payer utilization review requirements.
Summary Generated by Built In

Find your purpose as a Prior Authorization Assistant with CentraCare. The Prior Authorization team processes all health plan/payer utilization review requirements, which include managed care referrals, pre-certifications, and prior authorizations in a timely and accurate manner. They work closely with internal physicians and staff as well as health care providers outside the clinic to facilitate quality patient care and demonstrate excellent customer service. Supporting and implementing patient safety and other safety practices as appropriate. A Prior Authorization Assistant supports and demonstrates Family Centered Care principles when interacting with patients and their families and with co-workers.

Schedule:

  • Full-time | 80 hours every two weeks 
  • Day shift | 8-hour shifts | 8am-4:30pm

Pay and Benefits:

  • Starting pay begins at $21.88 per hour; exact wage determined by years of related experience
    • Pay range:  $21.12 - $31.68 per hour
  • Tuition reimbursement and college grant programs available
  • Full-time benefits: Medical, dental, PTO, retirement, employee discounts and more!

Qualifications:

  • Associate's degree, preferably in Health Information Technology (HIT) or another health-care related program
  • 1 year of relevant healthcare experience in lieu of education
  • Minimum 1 year experience in prior authorization preferred
  • Knowledge of health care and medical practices preferred

CentraCare has made a commitment to diversity in its workforce and all individuals, including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

Skills Required

  • Associate's degree, preferably in Health Information Technology or another healthcare-related program
  • One year of relevant healthcare experience may substitute for education
  • Minimum one year of prior authorization experience
  • Knowledge of healthcare and medical practices
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The Company
HQ: St. Cloud, MN
3,682 Employees

What We Do

As an integrated, not-for-profit organization, CentraCare is working to improve the lives and wellbeing of those living in Central Minnesota. CentraCare provides care through hospitals located in St. Cloud, Long Prairie, Melrose, Monticello, Paynesville and Sauk Centre with more than 25 clinics and specialty centers throughout the region. Additionally, Carris Health, a wholly-owned subsidiary of CentraCare, is comprised of Rice Memorial Hospital in Willmar, Redwood Hospital in Redwood Falls and seven clinics in the Southwest and West Central region of the state. CentraCare – St. Cloud Hospital has been a Magnet-designated hospital since 2004 and repeatedly receives national recognition for its outstanding quality measures. CentraCare provides comprehensive primary through tertiary care, CentraCare also operates numerous specialty services, including the CentraCare Heart & Vascular Center, Coborn Cancer Center and the CentraCare Kidney Program. CentraCare serves all who seek care with compassion, dignity and respect, while seeking to enhance individual and community health. Mission: CentraCare Health works to improve the health of every patient, every day. Vision: CentraCare Health will be the leader in Minnesota for quality, safety, service and value. Core Values: •Patient Centered: Serving patients above all. •Integrity: Adhering to honest and ethical practices. •Collaboration: Working jointly with others to improve health and health care. •Compassion: Serving all who seek our care with kindness, dignity, and respect. •Stewardship: Ensuring responsible use of all resources to best serve our communities.

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