Our Prior Authorization team is growing! We are expanding this centralized department and are in need of adding an additional person.

The Prior Authorization Specialist contacts insurance companies on behalf of patients to obtain prior authorizations for prescriptions, tests and procedures. Serves as a patient advocate and functions as a liaison between the patient and payor to address reimbursement questions and avoid insurance delays. Provides information to support the medical necessity of patient treatments and testing. Communicates with physicians and their team members to obtain necessary information as well as to inform them of any special requirements by particular insurance plans. Researches additional or alternative resources for non-covered services to prevent payment denials. Enters and scans information into Electronic Health Record as required.

Remote work may be available for the right candidate after completing orientation and training process (at least 3 months onsite in our Golden Valley office). CANDIDATES MUST LIVE IN TWIN CITIES METRO AREA.

We seek candidates with a HS education (or GED); associates degree in healthcare related field highly desired. Must have at least one year of experience in a medical office environment to include working with medical insurance or claims. Pharmacy tech experience may also be helpful. Working knowledge of authorization requirements for insurance payors is required. Knowledge of medical terminology preferred. Excellent communication skills, attention to detail, and ability to manage multiple projects required.

MUST LIVE IN TWIN CITIES METRO AREA.

This position is currently accepting applications.