Authorization Specialist I (Remote)+

at  Fairview Health Services

Overview:
Overview
This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient’s service and/or verifying they meet any medical policy criteria required by the patient’s insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care teams, operational teams, various other internal customers, and patients/guarantors.
Responsibilities/Job Description:

EDUCATION

• Associate degree in business, healthcare, or related area. 2 years of revenue cycle experience may substitute for an associate degree.

EXPERIENCE

• 1 year of experience working in revenue cycle, insurance verification, financial securing, or related areas using an EHR or enterprise software system in a healthcare organization. This experience must be in addition to two years of experience in lieu of associate degree requirement above.
• Knowledge of insurance terminology, plan types, structures, and approval types
• Knowledge of computer systems, including Microsoft Office 365

EXPERIENCE

• Referrals and/or prior authorization experience
• Epic experience
• Knowledge of medical terminology and clinical documentation review

Please refer the Job description for details